Download:
pdf |
pdfRESEARCH CONSENT FORM
SUBJECT NAME
DATE (MM/DD/YYYY)
TITLE OF STUDY
PRINCIPLE
INVESTIGATOR
VAMC
DESCRIPTION OF RESEARCH BY INVESTIGATOR 1.Purpose of study and how long it will last: 2. Description of
study including procedures to be use:; 3. description of procedures that may result in disconfort or inconvenience:
4. Expected risks of study: 5. Expected benefits of study: 6. Other treatment available: 7. Use of research results:
8. Special circumstances.
SUBJECT'S IDENTIFICATION
VA FORM
MAR 2006
10-1086
Page 1 of 1
File Type | application/pdf |
File Modified | 2006-03-22 |
File Created | 2006-03-21 |