Contact Information

Organization

THE COMMITTEE ON HUMAN RESEARCH (CHR)

SAMPLE CONSENT AND ASSENT FORMS

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	•	Biomedical (updated February 2008)
	•	Biomedical - Cancer (updated February 2008)
	•	Social or Behavioral (updated February 2008)
	•	One-time Survey (updated February 2008)
	•	Simple Blood Draw (updated February 2008)
	•	Biological Specimens (updated July 2008)
	•	Consent to Be Contacted For Future Research (HIPAA Compliant) (updated February 2008)
	•	Humanitarian Use Device (updated February 2008)
	•	Assent #1 - For children 7 - 12 (Simple)
	•	Assent #2 - For more complex study, more mature children
	•	Assent #3 - For adolescents 13 - 17
	•	Alternative Lay Language for Medical Terms in Consent Forms
	•	UCSF Subject Authorization for Release of PHI for Research
	•	Additional HIPAA-related Forms