Academic Research Participant Waiver

This Waiver is provided to individuals invited to participate in the academic research study entitled:

Principal Investigator(s):

Purpose of the Study

Procedures

Risks and Benefits

Confidentiality

Voluntary Participation

Participation in this study is voluntary. Refusal to participate or discontinuation at any time will involve no penalty or loss of benefits.

Contact Information

If you have any questions about this research, please contact:

If you have questions about your rights as a research participant, please contact:

Consent and Waiver

By signing below, you acknowledge that you have read and understood the information provided above, you freely agree to participate in this research, and you waive any claim against the research team or affiliated institutions for any injury or harm resulting from your participation, except in cases of gross negligence or misconduct.