Incipal Investigator: Kenneth Shroyer, MD, PhD Department: Pathology You are being asked to allow your child to be a volunteer in a research study PURPOSE The purpose of this study is: The Non-Transplant Tissue Bank (Biobank) is an effort of Stony Brook Medicine and Stony Brook Cancer Center in their commitment to research cancer and other diseases. The Biobank is located in the Anatomic Pathology Laboratories at Stony Brook University Hospital. The purpose of this Biobank is to store sa.

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How to fill out the Stony Brook University Research Permission Form online

This guide provides a clear, step-by-step approach to filling out the Stony Brook University Research Permission Form online. It aims to assist users in navigating the form with ease, ensuring that all necessary information is provided accurately.

Follow the steps to successfully complete the Research Permission Form

  1. Click the ‘Get Form’ button to access the Research Permission Form, enabling you to open it in the editing interface.
  2. In the project title field, enter the title of the research study: 'Non-Transplant Tissue Bank.'
  3. Provide the name of the principal investigator: Kenneth Shroyer, MD, PhD.
  4. Fill in the associated department, which is 'Pathology.'
  5. Indicate whether you are providing permission for your child to participate by selecting 'Yes' or 'No' based on your decision.
  6. Review the purpose of the study outlined in the form. Make sure to understand how samples will be used and the importance of the Biobank for future research.
  7. Acknowledge the procedures described, including additional blood draws and the use of leftover tissue and body cavity fluid, by checking the corresponding boxes indicating your consent.
  8. Understand and evaluate the risks and benefits section, assuring that you comprehend what participation entails and the lack of immediate benefits for your child.
  9. Fill in the confidentiality acknowledgment, recognizing how your child's privacy will be maintained and the procedures for sharing health data responsibly.
  10. Complete the sections regarding costs, alternatives, and your child’s rights as a research subject to ensure full awareness of the terms.
  11. If you have any questions about the study or your child’s rights, consider contacting the Principal Investigator or the Research Subject Advocate as indicated in the guide.
  12. Finally, provide your signature as the parent or legal guardian, along with the date, to formally give consent for your child's participation.
  13. After completing the form, you can save your changes, download the document for your records, print it out if necessary, or share it as needed.

Start filling out the Stony Brook University Research Permission Form online today to help contribute to important research!

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