Biological Specimen Laboratory Consent
Participant Information
Name:
ID Number:
Date of Birth:
Consent Details
Type(s) of Biological Specimens:
Purpose of Collection:
Procedures Involved:
Possible Risks/Discomforts:
Possible Benefits:
Confidentiality:
Right to Withdraw:
I have read and understood the information provided above, and I voluntarily give my consent for the collection and use of my biological specimens as described.
Participant Signature:
Date:
Witness (if applicable):
Date: