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UTC Institutional Review Board | Informed Consent

The following are some samples of informed consent forms.  They are tools to help you compose your own form that will be tailored to your specific research project.  All consent forms must address the elements of informed consent outlined in the informed consent checklist.

Sample 1:  Cover Letter for Survey

Sample 2:  Cover Letter for Survey (Sensitive Topic)

Sample 3:  Signed Consent Form -- List Format

Sample 4:  Signed Consent Form -- More Than Minimal Risk to Participants

Sample 5:  Signed Consent Form -- Parental Letter Template

Sample 6:  Signed Consent Form -- Assent for Child

Sample 7:  Sample Language to Include for Audio/Videotaping Subjects