Multi-site International Study Informed Consent Waiver Form
Study Title:
Principal Investigator Name and Contact Information:
Study Site(s):
Purpose of the Study
Procedures
Potential Risks and Discomforts
Potential Benefits
Confidentiality
Voluntary Participation
Waiver of Informed Consent
The study has been approved for a waiver of signed informed consent by the responsible ethics review board. Participation is voluntary and you may withdraw at any time without penalty or loss of benefits.