Observational Study Consent Form
Study Title:
Principal Investigator(s):
Purpose of the Study
Procedures
Duration
Risks and Discomforts
Benefits
Confidentiality
Voluntary Participation
Contact Information
Participant Consent
I have read and understood the information provided above.
I have had the opportunity to ask questions and have had them answered to my satisfaction.
I voluntarily agree to participate in this study.
Participant's Name:
Participant's Signature:
Date:
Researcher’s Name:
Researcher’s Signature:
Date: