Instructions – Use to fill in the blank template.
How to Write
Step 1 – Download in PDF, MS Word, or OpenDocument.
Step 2 – The title of the research study being conducted must be included at the top of the consent form.
Step 3 – Enter the following information related to the primary researcher in the fields provided:
- Name
- Department
- Address
- City
- State
- Phone number
- Email address
Step 4 – The purpose of the study, the procedures, the risks, and the benefits should be listed under each appropriate corresponding category with the participant’s initials included at the bottom of the page.
Step 5 – Any compensation that is to be provided to the participant(s) should be included under the “Compensation” section on page 2.
Step 6 – A telephone number and email address should be supplied under the “Contact Information” section in case the participant does not want to contact the primary researcher directly. The participant must initial the bottom of the second page.
Step 7 – Signatures must be produced by the participant and the researcher, with the date on which the form was signed next to each signature.
