Creating a Consent Document - Module 3 Section 9m

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Introduction
Background
Procedures
Risks and Benefits
Compensation
Confidentiality
Voluntary
New Information
Contacts and Questions
Consent Statement

Contacts and Questions

The researcher(s) conducting this study is(are)

You may ask any questions you have now. (This sentence will be inserted automatically into the document.)

If you have questions later, you may contact the researchers at
[include phone number with area code]

At the bottom of the last page, insert the following statement:

THIS PROJECT HAS BEEN REVIEWED BY THE CALIFORNIA STATE UNIVERSITY, LOS ANGELES
INSTITUTIONAL REVIEW BOARD FOR THE PROTECTION OF HUMAN SUBJECTS IN RESEARCH.
ADDITIONAL CONCERNS AND COMPLAINTS, OR QUESTIONS REGARDING YOUR RIGHTS AS A
RESEARCH PARTICIPANT, SHOULD BE DIRECTED TO THE DIRECTOR OF RESEARCH
ADMINISTRATION (Phone number: 323-343-5366).

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