UW Research

Forms and Templates

Emergency or Compassionate Use Consent Template


Use this template consent form when requesting consent for treatment with an experimental item.

Change Notes

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