Form 1 Known Informant Letter

The Jackson Heart Study: Annual Follow-up with Third Party Respondents (NHLBI)

Attachment 8 -Known number_Death certificate contact notification

Families

OMB: 0925-0491

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OMB# 0925-0491

Expiration Date XX/XXXX










Date


INFORMANT NAME

Mailing Address

City, State Zip



Dear INFORMANT NAME:


I am writing on behalf of the National Heart, Lung and Blood Institute’s Jackson Heart Study, to ask for your help. The Jackson Heart Study was designed to measure the rates of heart disease in Hinds, Rankin and Madison counties. Your name is listed as an informant on the death certificate of NAME JHS PARTICIPANT that passed away on DATE OF DEATH. In a few days a member of my staff will call to explain further about the project and seek your permission to ask a few medical questions. Of course, your participation is entirely voluntary.


The information gathered will be used for statistical purposes only, and will remain strictly confidential. It will contribute to our efforts to better understand heart disease and prevent its occurrence in the future. Thank you in advance for your help in this important study.


Sincerely,




Herman A. Taylor Jr., MD, MPH

Professor

Director and Principal Investigator, Jackson Heart Study



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File Typeapplication/msword
File TitleDate
AuthorSWyatt
Last Modified Bypandeym
File Modified2009-12-15
File Created2009-11-24

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