UCSF Human Research Protection Program - CHR Forms, Standard Formats, & Templates


	For Researchers and Staff
	About the Committee
	Contact Information Organization
	Applying & Reporting to the CHR
	Applications & Forms
	Recruitment & Consent Process
	UCSF Guidance on Research Topics & Issues
	Working With the VA
	Working With Other Institutions & Units
	For Research Volunteers
	About the Quality Improvement Unit (QIU)
	Education & Training
	Status Checks & Research Online
	HIPAA & Research
	Federal Regulation & Guidance
	Other Useful Links
	CHR Member Information
	What's New

THE HUMAN RESEARCH PROTECTION PROGRAM

THE COMMITTEE ON HUMAN RESEARCH (CHR)

SAMPLE CONSENT AND ASSENT FORMS

If you experience any technical problems accessing these files please contact us.

	•	Biomedical

	•	Biomedical - Cancer

	•	Social or Behavioral

	•	One-time Survey *(NEW January 2008)*

	•	Simple Blood Draw

	•	Biological Specimens

	•	Consent to Be Contacted For Future Research (HIPAA Compliant)

	•	Humanitarian Use Device *(NEW September 2007)*

	•	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

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Page updated: January 22, 2008