Skip to main content

Consent Templates

Consent Templates for Greater than Minimal Risk Research

Key Information Examples
These examples are provided to help write the new key information sections of the Q&A FDA Regulated and NON-FDA Regulated consent templates:

Q&A Template and Consent Checklist for FDA Regulated Drug Studies

Q&A Consent Template for NON-FDA Regulated Studies - Revised January 2019
This template should be used for internal studies and for other projects where all data released to external parties has been de-identified according to HIPAA standards.

Consent Template for Registries - Revised 9-8-2016

Q&A Surrogate Decision Makers Consent Form - Revised October 2018
This template is appropriate for persons who are consenting to research on behalf of another adult who does not have decisional capacity.

Consent Template Parental Permission - Revised 5-18-2009

Consent Template Child Assent Examples - Revised 1-26-2009

Consent Template for Pregnant Participant/Partner - Revised 1-29-2015

Consent Template for Optional Sample Storage and Future Use - Revised 1-29-2015

*Consent Templates for Minimal Risk Research

Focus Group consent template - Revised 1-20-2017

Survey consent form template - anonymous, no HIPPA - Revised 1-28-2015

Survey consent form template - not anonymous, no HIPPA - Revised 1-28-2015

Survey consent form template - not anonymous with HIPPA - April 2017

Consent Templates for Flexible Review Research

Flexibility Consent Template - Biorepository

Flexibility Consent Template - Focus Groups with HIPAA

Flexibility Consent Template - Minimal Risk Procedures

Flexibility Consent Template - Registry

Flexibility Information Sheet - Focus Group, no HIPAA

Flexibility Information Sheet - Survey with identifiable information

Withdrawing Consent

Template for Withdrawal or Partial Withdrawal of Consent for Research - March 2015

Last modified: Jan 17, 2019
ID=x17832