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1. Title and Introduction: Clear identification of the document as an assent form and brief welcome statement
2. Participant Information: Space for participant's name, age, and any relevant identification information
3. Purpose Statement: Simple explanation of why the participant is being asked to give assent, written in age-appropriate language
4. Procedure Description: Clear explanation of what will happen, what the participant will be asked to do, written in simple terms
5. Time Commitment: How long the participation will take or last
6. Risks and Discomforts: Simple explanation of any possible risks or discomforts
7. Benefits: Description of any direct benefits to the participant or others
8. Voluntary Participation: Statement that participation is voluntary and can be stopped at any time
9. Confidentiality: Simple explanation of how information will be kept private
10. Contact Information: Names and contact details of responsible persons/organizations
11. Signature Section: Space for participant's signature, date, and witness signature if required
1. Photography/Video Recording: Required when the activity involves taking pictures or videos of the participant
2. Compensation: Include when there is payment or reward for participation
3. Alternative Procedures: Include when there are other options available besides participation
4. Future Use of Information: Required when collected information might be used for future research or purposes
5. Translation Statement: Include when the form is available in multiple languages
6. Cultural Considerations: Include when specific cultural aspects need to be addressed
7. Educational Rights: Include when the research/activity takes place in an educational setting
1. Visual Aid Appendix: Pictures, diagrams, or illustrations to help explain the procedure or activity
2. Age-Appropriate Information Sheet: Supplementary information written specifically for different age groups
3. Parent/Guardian Permission Form: Accompanying consent form for parents/guardians
4. Rights and Responsibilities: Detailed list of participant rights and responsibilities in child-friendly language
5. Glossary: Simple definitions of any technical terms used in the form
Voluntary Participation
Procedure Description
Duration
Risks and Discomforts
Benefits
Confidentiality
Privacy Protection
Compensation
Withdrawal Rights
Emergency Contact
Participant Rights
Data Collection
Documentation
Alternative Options
Future Use
Recording Consent
Cultural Considerations
Language Assistance
Witness Statement
Healthcare
Medical Research
Educational Research
Clinical Trials
Behavioral Studies
Psychology
Pediatrics
Social Services
Academic Institutions
Pharmaceutical
Non-profit Research
Public Health
Legal
Compliance
Research Administration
Clinical Operations
Human Subjects Protection
Ethics Review
Regulatory Affairs
Patient Safety
Research Operations
Quality Assurance
Research Coordinator
Clinical Trial Manager
Ethics Committee Member
Institutional Review Board Administrator
Research Compliance Officer
Principal Investigator
Study Administrator
Clinical Research Associate
Pediatric Research Specialist
Human Subjects Protection Officer
Legal Counsel
Research Ethics Director
Patient Safety Manager
Research Program Director
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