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Human Subjects Division (HSD)

Documents

Document Details

Last Updated 01/31/2014
Version 1.20
Filesize 32 KB
Audiences Researcher
Doc Type Template

TEMPLATE: Consent Form, Medical Records

Purpose

The purpose of this template is to provide sample language for the consent form for use of medical records.

Change Notes

  • Related to Ver. 1.20, noted 01/31/2014 @ 09:31am
    Changes to who needs to be listed at top of form. Please use this version going forward. No need to change currently approved consent forms.
    - sherrye
  • Related to Ver. 1.10, noted 10/19/2013 @ 04:56pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 1.10, noted 08/09/2013 @ 10:41am
    Added language regarding subject injury. Please use this version going forward.
    - sherrye
  • Related to Ver. 1.00, noted 10/07/2010 @ 09:32am
    Removed references to UWise
    - sherrye