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Office of Human Research Administration

Consent Form

There are nine available long-form consent templates each with a different signature block and one child assent template.  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 IRB Administrative Chair Julie Kaberry at 617-384-8547. For assistance drafting and editing consent materials, contact QIP at 617-384-8546.

Consent Form Template                
Instructions                                
For use with capable adults without a witness present

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.

 

For use with capable adults with a witness present 

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.

For use with capable adults with a witness present, and all short forms 

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  

For use with adults unable to provide consent without a witness present

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  

For use with adults unable to provide consent with a witness present

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  

For use with adults unable to provide consent with a witness present, and all short forms 

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.

For use with children without witness present (Parental Permission) 

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  

For use with children with a witness present (Parental Permission) 

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  

For use with children with a witness present, and all short forms (Parental Permission)

 

Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.  
Assent

Use this template to develop assent materials when enrolling minor subjects (7-17 years of age or under the age of majority) taking part in human subjects research.  You will also need to submit a Parental Permission Form. Refer to our Reviewer Checklists to ensure that all criteria for approval are addressed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Questions about what to submit?  Please contact us.

 

 


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For any other questions, please contact OHRA.