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Get University Hospitals Internal QA Checklist - Participant 2021-2024

Y. INITIALS / DATE COMMENTS INFORMED CONSENT DOCUMENT/ HIPAA AUTHORIZATION Ensure all originals of the informed consent and assent document are present and fully executed for participant Participant signature and date present Parent or legal guardian signature and date Person obtaining consent signature Yes No N/A and date No missing content or incomplete fields or unmarked checkboxes Contact person information included No pre-populated fields or written no.

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