Informed Consent for Neuroimaging Study Participants

Study Title:

Principal Investigator:

Introduction

You are being asked to participate in a research study involving neuroimaging. Participation is voluntary. The following information will help you decide whether or not you wish to take part.

Purpose of the Study

Procedures

Duration

Risks and Discomforts

Benefits

Confidentiality

Voluntary Participation and Withdrawal

Your participation in this study is entirely voluntary. You may withdraw at any time without penalty or loss of benefits.

Contact Information

If you have any questions regarding this study or your participation, please contact:

Participant Statement

I have read and understood the information provided above. My questions have been answered. I voluntarily agree to participate in this research study.