Emergency or Compassionate Use Consent Template
Use this template consent form when requesting consent for treatment with an experimental item.
Change Notes
Updates to language and instructions about econsent- 04.02.2026
Align with Nov. 2022 FDA draft consent template and current HSD consent language – 12.05.2023
Add FHCC as site – 08.25.2022
Remove collect call phone number – 04.28.2022
Addition of electronic signatures – 10.16.2020