The Consent Document For Confidentiality you see on this page is a reusable legal template created by experienced attorneys in accordance with federal and state laws.
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Write directly to the reader, as though you are explaining the facts in person. Informed consent language should be written in the second person (?you?), not in the first person (?I?). Minimize passive voice to the extent possible.
The consent form must include: A statement that the study involves research. ... Purpose of the research. ... Procedures. ... Risks or discomforts to the subject. ... Benefits of the research to the subject. ... Treatment Alternatives. ... Costs of Participation. ... Confidentiality.
Example: All information taken from the study will be coded to protect each subject's name. No names or other identifying information will be used when discussing or reporting data. The investigator(s) will safely keep all files and data collected in a secured locked cabinet in the principal investigators office.
The informed consent may include an explicit statement such as this: "If you voluntarily give your written consent for anyone to receive information about your participation in the research, then we may not use the [Certificate of Confidentiality] to withhold this information."
We will keep your participation in this research study confidential to the extent permitted by law. However, it is possible that other people may become aware of your participation in this study. For example, the following people/groups may inspect and copy records pertaining to this research.