Important Information

Minimal-Risk Research — Informed Consent Template (Generic)

Study Title: ____________________________
Principal Investigator: ____________________________
Sponsor / Institution: ____________________________
Contact: ____________________________

1. Purpose of the Study

You are being asked to take part in a research study. The purpose of this study is to ____________________________. Participation is voluntary.

2. What You Will Be Asked To Do

If you choose to participate, you will be asked to:

Your participation will take approximately ____________________________.

3. Risks and Discomforts

This study is considered minimal risk. Possible risks may include minor inconvenience or discomfort such as ____________________________. There are no known significant physical or psychological risks.

4. Benefits

You may not receive any direct benefit from taking part in this study. The results may help researchers learn more about ____________________________.

5. Alternatives

Your alternative is not to participate.

6. Confidentiality

Your information will be kept confidential as allowed by law. Data may be stored securely and may be used for research purposes without identifying you.

7. Compensation / Costs

You will / will not be paid for participation (select one).
You will / will not incur costs by participating (select one).

8. Voluntary Participation and Withdrawal

Participation is voluntary. You may refuse to participate or withdraw at any time without penalty or loss of benefits.

9. Questions

If you have questions about the study, contact: ____________________________
If you have questions about your rights as a research participant, contact: ____________________________

10. Consent Statement

By signing below, you confirm that:

• You have read and understand this consent form.
• Your questions have been answered.
• You voluntarily agree to participate.

Participant Name: ____________________________
Signature: ____________________________ Date: ___________

Researcher / Study Staff: ____________________________
Signature: ____________________________ Date: ___________