The Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, and features customizable and printable samples.
Consent Form Template UK Editable – PrintableSample
Consent Form Template UK 1. Participant Information 2. Study Information 3. Purpose of the Study 4. Description of Participation 5. Risks and Benefits 6. Confidentiality 7. Voluntary Participation 8. Consent Statement 9. Declaration and Signatures
PDF
WORD
Examples
[Name of the Participant]
[Participant’s ID]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
[Name of the Organization]
[Organization’s ID]
[Organization’s Address]
[Organization’s Phone]
[Organization’s Email]
This consent form outlines the participant’s agreement to [describe the purpose, e.g., participate in a research study, medical procedure, etc.] conducted by [Name of the Organization].
The participant consents to the following:
1. Description of the activity or project: [Provide a detailed description of the activity].
2. Duration of participation: [Specify duration, e.g., single session, ongoing].
3. Method of data collection: [Describe how data will be collected, e.g., surveys, interviews].
The participant acknowledges understanding any potential risks associated with the participation, which include [list potential risks, e.g., emotional distress, confidentiality breach]. The benefits of participating are [describe the benefits, e.g., contributing to research, receiving feedback].
The organization ensures that all personal information will be kept confidential and will not be disclosed without prior consent, except as required by law.
The participant has the right to withdraw their consent at any time without any consequences on their relationship with the organization.
For any questions regarding this consent form, please contact [Person’s Name, Position, Contact Details].
By signing below, I confirm that I have read and understood the information provided in this consent form. I voluntarily agree to participate in the outlined activity.
Signed in [City], [Date].
[Signature of the Participant]
[Name of the Participant]
[Signature of the Organization Representative]
[Name of the Representative]
[Name of the Participant]
[Participant’s ID]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
[Name of the Organization]
[Organization’s ID]
[Organization’s Address]
[Organization’s Phone]
[Organization’s Email]
This consent form is intended to inform the participant about their role in [describe the project, e.g., a clinical trial, educational survey], which will take place starting on [Start Date].
The participant will engage in the following activities: [List specific activities, e.g., completing questionnaires, attending sessions].
Participants may receive the following compensation for their involvement: [Detail any payments, vouchers, or items].
Personal data collected will be utilized for [explain how the data will be used, including analytics, research publications], and will be handled in compliance with GDPR regulations.
I understand that my participation involves minimal risk, which has been explained. In the case of adverse effects, I will [explain procedure for reporting issues].
Any disputes arising from this consent form will be addressed through [describe the method for dispute resolution, e.g., mediation].
I, the undersigned, hereby confirm my participation and consent to the conditions outlined above.
Signed in [City], [Date].
[Signature of the Participant]
[Name of the Participant]
[Signature of the Organization Representative]
[Name of the Representative]
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