Medical Device User Experience Consent Form

Study Title:

Sponsor/Institution:

Investigator:

Contact Information:

Introduction

You are invited to participate in a user experience study for a medical device. Please read the following information carefully before deciding whether to take part.

Purpose of the Study

Procedures

Risks and Benefits

Confidentiality

Voluntary Participation

Participation in this study is voluntary. You may withdraw at any time without penalty or loss of benefits.

Consent Statement

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