Assent Consent Form Template for New Zealand

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Key Requirements PROMPT example:

Assent Consent Form

"I need an Assent Consent Form for a pediatric medical research study starting in March 2025, specifically for participants aged 7-12 years old who will be participating in a 6-month sleep pattern study, with special consideration for Māori cultural protocols."

Document background

The Assent Consent Form is a crucial document used in New Zealand when seeking participation from minors or individuals who may not have the full capacity to provide informed consent but whose agreement to participate is essential and ethically required. This document type is commonly used in medical research, clinical trials, educational studies, and therapeutic interventions. The form must comply with New Zealand's legal framework, including the Care of Children Act 2004 and relevant healthcare regulations. It typically accompanies a full informed consent form signed by parents or legal guardians and is designed to explain procedures, risks, and benefits in simple, age-appropriate language. The Assent Consent Form represents a key element in ethical practice, demonstrating respect for participant autonomy while ensuring appropriate protections are in place.

Suggested Sections

1. Title and Introduction: Clear identification of the document as an assent form and brief introduction of its purpose

2. Participant Information: Space for the participant's name, age, and any relevant identification details

3. Project/Study/Procedure Description: Simple, clear explanation of what the participant is being asked to participate in

4. What Will Happen: Step-by-step explanation of what the participant will experience or need to do

5. Time Commitment: Clear statement of how long participation will take

6. Risks and Benefits: Simple explanation of any potential risks and benefits, written in accessible language

7. Voluntary Participation: Clear statement that participation is voluntary and can be stopped at any time

8. Privacy Protection: Simple explanation of how the participant's information will be protected and used

9. Contact Information: Names and contact details of responsible persons/organizations

10. Assent Declaration: The actual assent statement written in first person ('I understand...') with signature blocks

Optional Sections

1. Compensation Information: Include when there is any form of payment or reward for participation

2. Photography/Recording Consent: Include when the project involves taking photos, videos, or recordings

3. Future Use of Information: Include when data might be used for future research or other purposes

4. Cultural Considerations: Include specific cultural considerations, particularly relevant for Māori participants

5. Medical Procedures: Include when the assent involves any medical procedures or treatments

6. Group Activities: Include when participation involves group activities or interaction with others

7. Translation Statement: Include when the form has been translated from English to another language

Suggested Schedules

1. Visual Aids Schedule: Pictures, diagrams, or illustrations helping to explain the procedure/study

2. Age-Appropriate Information Sheet: Detailed information about the study/procedure written in age-appropriate language

3. Parent/Guardian Acknowledgment: Additional form for parent/guardian to acknowledge their child's assent

4. Withdrawal Form: Simple form that can be used if the participant wishes to withdraw later

5. Cultural Protocol Guide: When relevant, explanation of cultural protocols that will be followed

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Medical Research

Clinical Trials

Education

Social Sciences

Psychology

Pediatrics

Public Health

Academic Research

Behavioral Studies

Mental Health Services

Community Services

Relevant Teams

Research Administration

Clinical Operations

Legal Compliance

Ethics Review

Medical Affairs

Child Services

Research Governance

Clinical Research

Patient Protection

Research Ethics

Study Management

Documentation

Relevant Roles

Research Coordinator

Clinical Trial Manager

Ethics Committee Officer

Pediatrician

Child Psychologist

Research Nurse

Study Administrator

Legal Compliance Officer

Research Ethics Director

Principal Investigator

Child Protection Officer

Research Assistant

Medical Director

Educational Researcher

Clinical Research Associate

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Temporary Guardianship Agreement Form

A New Zealand legal document establishing temporary guardianship arrangements for children under the Care of Children Act 2004.

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Let's create your Assent Consent Form

Authors

Alex Denne

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