Important Information
Informed Consent Template (Placeholder)
Title: Informed Consent for [Project/Study/Service Name]
Introduction
You are being asked to participate in [brief description]. This form provides information about the purpose, procedures, risks, benefits, and your rights.
Purpose
The purpose of this [study/service/activity] is to [describe purpose in simple terms].
Procedures
If you agree to participate, you will be asked to:
• [Step 1]
• [Step 2]
• [Duration]
Risks and Discomforts
Possible risks include:
• [Risk 1]
• [Risk 2]
Benefits
You may benefit from:
• [Benefit 1]
• [Benefit 2]
Confidentiality
Your information will be kept confidential. Data collected may include: [data types].
Voluntary Participation
Participation is voluntary. You may withdraw at any time without penalty.
Contact Information
For questions, contact:
• [Name]
• [Email/Phone]
Consent Statement
By signing below, you acknowledge that you have read and understand the above and agree to participate.
Signature: ____________________
Date: _________________________