Clinical Research Confidentiality Agreement Acknowledgement

This Acknowledgement confirms that I have read and understood the terms and responsibilities regarding confidentiality in relation to my participation in the clinical research study referenced below.

Confidentiality Obligations

I acknowledge my ethical and legal responsibilities to protect the confidentiality of all research-related information as described.

Study Title:
Principal Investigator:
Name of Individual Acknowledging:
Role:
Signature:
Date: