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Or: Darrell Wilson, MD IRB Approval Date: September 28, 2010 IRB Expiration Date: September 27, 2011 Please check one of the following: You are an adult participant in this study. You are the parent or guardian granting permission for a child in this study. Print child s name here: The following information applies to the adult participant or to the child or ward. If the participant is a child or ward, the use of "you" refers.

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How to fill out the screening consent - Division of Pediatric Endocrinology online

Completing the Screening Consent for the Division of Pediatric Endocrinology is an important step for those wishing to participate in research regarding type 1 diabetes. This guide will provide you with clear and supportive instructions on how to fill out the form online effectively.

Follow the steps to complete the screening consent form online.

  1. Press the ‘Get Form’ button to obtain the screening consent form and open it in your preferred editing tool.
  2. Carefully read through the introduction section, which outlines the purpose of the research and the importance of your participation. Make sure you understand the study's aim before proceeding.
  3. In the first section, indicate whether you are an adult participant or a parent or guardian by checking the appropriate box. If you are granting permission for a child, print the child's name clearly in the designated area.
  4. Provide information regarding any other research studies you or your child are participating in by selecting 'Yes' or 'No'.
  5. Read the detailed explanation about the purpose of the research and the procedures involved. Ensure you comprehend the significance and potential benefits of participating.
  6. Fill out the participant’s responsibilities section acknowledging your agreement to follow instructions, communicate any side effects, and maintain appointments.
  7. Review the withdrawal policy, affirming your right to withdraw from the study at any time without impacting your medical care.
  8. Read through the possible risks and benefits outlined in the document, ensuring you are informed about potential discomforts.
  9. Complete the authorization section to permit the use of your health information for research, if you consent.
  10. Sign and date the form in the designated area, ensuring all required signatures are provided, especially if the participant is a minor and requires a guardian's consent.
  11. Once completed, save the changes made to the form. You have the option to download or print a copy for your records.

Start your application for the Screening Consent form online today.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232