Informed Consent Form for Genetic Testing Research

Study Title:

Principal Investigator:

Contact Information:

Introduction

You are being asked to participate in a research study involving genetic testing. Please read this form carefully and ask any questions you may have before agreeing to participate.

Purpose of the Study

Procedures

Risks and Discomforts

Benefits

Confidentiality

Voluntary Participation

Your participation in this study is voluntary. You may refuse to participate or withdraw from the study at any time without penalty or loss of benefits to which you are otherwise entitled.

Questions

If you have questions about this study or your rights as a participant, please contact:

Consent

I have read and understand the information provided above. I voluntarily agree to participate in this research study.

Participant Name

Participant Signature

Date

Investigator Name

Investigator Signature

Date