Consent Form

There are five available consent form templates each with a different signature block. Use these templates when creating new consent and assent documents. Choose the signature block(s) that is appropriate for your protocol. When multiple signature blocks apply, create a separate consent document for each one. If you are unsure which signature block(s) to use or have questions, contact Julie Kaberry at 617-432-2149. For assistance drafting and editing consent materials, contact QIP at 617-432-2140.

Consent Form Template	Instructions
Adult Consent Form	Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.
Adult Surrogate Consent Form	Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.
Child Assent Form	Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.
Parental or Guardian Permission Consent Form	Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.
HIPAA-Covered Entities Consent Form	Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.