Consent Templates/Forms

Note: Most forms on this page are available in Rich Text Format (.rtf).  For forms in Word format please visit the All Forms page.

Consent and Waiver Forms

• Form 2: Informed Consent for Participation in Research Activities
• Form 2: Suggested Language: Please note, separate consent forms are needed for minors and adults. When developing a minor consent form, replace the adult signature lines with those designated for minors in the suggested language.
• Form K1: Waiver of Consent
• Form K2: Alteration of the Eight Required Elements of Consent
• Form K3: Waiver of Written Consent
• Form K4: Short Form Written Consent
• Form K5: Partial Waiver of Authorization for Recruitment Purposes
• Form K6: Consent for InVitro Diagnostic Device Studies Using Leftover  Human Specimens that are Not Individually Identifiable

Approved Foreign Language Short Consent Forms

• Arabic (.pdf)
• Bosnian
• Cyrillic (Russian) (.pdf)
• German
• French
• Italian
• Kurdish (.pdf)
• Non-English Template
• Spanish (Latin American)
• Vietnamese (.pdf)

Helpful Information

• Cancer Center Statement
• Consent Signature Lines Adult
• Consent Signature Lines Minor
• Guideline on Modification or Waiver of Informed Consent
• HIPAA Identifiers

Sample Consent Forms

• Assessment of Understanding Tool
• Case Study Consent
• Database Consent
• HUD Consent
• Modification or Waiver of Consent
• Risk Statements
• Telephone Script

Sample Assent Forms

These are not templates. These are samples from prior submissions and are study specific. They are available as samples only.

• Cancer
• Cancer/Bone Marrow
• Cancer/Stem Cell
• Lung Transplant
• Neurology
• Neurology-MRI 1
• Psychological
• Sample Assent Template
• Social Behavioral

Last updated: 1/9/09