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Model Consent Form
"I need a Model Consent Form for a medical research study starting in March 2025, which will involve collecting blood samples from adult participants in London hospitals and sharing the anonymized data with our research partners in the EU."
1. Personal Details: Full name, contact information, and relevant identifiers of the person giving consent
2. Purpose Statement: Clear explanation of what consent is being sought for and specific activities or data processing being authorized
3. Rights Statement: Details of right to withdraw consent, how to exercise rights, and any time limitations
4. Declaration: Clear statement of consent, date and signature fields, and witness section if required
1. Parental/Guardian Consent: Additional declarations and signature fields for cases involving minors or those lacking capacity
2. Data Processing Details: Specific processing activities, data retention periods, and third party sharing information when personal data processing is involved
3. Risk Disclosure: Detailed explanation of potential consequences when activity involves specific risks
4. Emergency Contacts: Alternative contact details when involving medical procedures or high-risk activities
1. Information Sheet: Detailed information about the activity/procedure, used when main form needs to remain concise
2. Privacy Notice: Detailed information about data processing, required when significant personal data is involved
3. Supporting Documentation: Any relevant certificates, qualifications, medical history forms, or risk assessments if applicable
Authors
Special Category Data
Processing
Consent
Data Controller
Data Processor
Research Project
Study
Procedure
Withdrawal Period
Authorized Representative
Guardian
Participant
Service Provider
Confidential Information
Data Protection Legislation
Regulatory Authority
Relevant Purpose
Territory
Effective Date
Privacy
Confidentiality
Consent Grant
Purpose Limitation
Rights and Obligations
Withdrawal Rights
Information Usage
Duration
Risk Disclosure
Emergency Procedures
Third Party Disclosure
Record Keeping
Liability
Termination
Medical Procedures
Research Participation
Safeguarding
Complaints Procedure
Governing Law
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