Informed Consent Form for Biobank Participation
Study Title
Principal Investigator
Introduction
Purpose of the Biobank
What will happen if you take part?
What information/samples will be collected?
Risks and Benefits
Confidentiality
Voluntary Participation & Withdrawal
Contact Information
Consent
I have read and understood the information above.
I agree to provide my samples/data to the biobank for research purposes.
I understand that my participation is voluntary and I can withdraw at any time.
Signatures
Participant Name
Date
Signature
Investigator/Witness Name
Date
Signature