
ANK (BIOBANK) Post-Surgical Project Title: Non Transplant Tissue Bank Principal Investigator: Kenneth Shroyer, MD, PhD Department: Anatomic 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 Nontransplant Tissue Bank (BioBank) is an effort of Stony Brook Medicine and the Stony Brook Cancer Center in its commitment to research on cancer and other diseases. The purpose of this tissue bank is to store samples of.
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How to fill out the Stony Brook University Research Permission Form online
This guide provides a step-by-step approach to filling out the Stony Brook University Research Permission Form online. It aims to assist users in understanding the form's components and completing it efficiently.
Follow the steps to fill out the form accurately.
- Press the ‘Get Form’ button to access the document and open it in your browser.
- Begin by entering the project title, which is 'Non Transplant Tissue Bank'. This identifies the purpose of the research.
- Provide the name of the principal investigator, Kenneth Shroyer, MD, PhD, ensuring the correct spelling.
- Fill in the department name as 'Anatomic Pathology'. This identifies the research area's focus.
- Read the purpose of the study carefully. Confirm that you understand the importance of allowing a sample of the child's tissue and, if collected, body cavity fluid to be stored in the BioBank for future research.
- Review the procedures outlined. Make sure you are comfortable with allowing any leftover tissue and fluid to be stored indefinitely.
- Acknowledge that identifying data will be coded to protect your child’s confidentiality during research.
- Understand the risks and benefits associated with the study, which include no foreseeable risks and limited benefits.
- Indicate your acknowledgment of the absence of payment for participation and the voluntary nature of the study.
- Complete the consent section by providing the minor subject's name, parent/legal guardian's name, and their signature. Ensure the date is entered accurately.
- Confirm that assent for children aged 7 to 11 has been discussed, or that signed assent is obtained for participants aged 12 to 17.
- After completing and reviewing the form, you will have the option to save changes, download, print, or share the document as necessary.
Complete the Stony Brook University Research Permission Form online today to ensure your child's participation in valuable research.
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