Consent Templates

Below are several samples that may help investigators draft their study-specific consent forms.  Please be aware that these templates may not be appropriate for all settings, particularly for minimal risk research or for community-based research.  Please contact the IRB Office for guidance about developing consent forms that are appropriate to your study population. 

Q & A Consent Template for Clinical Trials - FDA Studies - Revised August 2014

This consent template, appropriate for FDA-regulated studies, is written in a Question and Answer format.

Consent Form Template  2 - Revised 6-23-2008

This template should be used for internal studies and for other projects where all data released to external parties has been de-identified according to HIPAA standards. 

Consent Template for Surrogate Decision-Makers - Revised  7-2-2009

This template is appropriate for persons who are consenting to research on behalf of another adult who does not have decisional capacity.

Consent Template for Humanitarian Use Devices - Revised  7-2-2009

Approval for a humanitarian use device (HUD) involves special considerations from FDA and the HSC. Please contact the HSC Office for more information when proposing the use of an HUD.  

Consent Template for Optional Genetic Research - Revised 7-24-2008

Consent Template Parental Permission - Revised 5-18-2009

Consent Template Child Assent Examples - Revised 1-26-2009

Consent Template for Emergency Use - 11-11/2014

Last modified: Dec 11, 2014
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