Informed Consent Form Sample Contracts

Junior Informed Consent Form (Age 18 years and under)
Informed Consent Form • August 15th, 2016
AutoNDA by SimpleDocs
Agreement to be in the Study
Informed Consent Form • January 14th, 2020
Attachment B: Informed Consent Forms
Informed Consent Form • June 23rd, 2020

The informed consent forms for the random assignment and non-random assignment grantees are included here respectively.

Department of Psychology Minnesota State University Moorhead Informed Consent Form
Informed Consent Form • January 2nd, 2020

Purpose of the study: We hope to learn what types of information influence the spoken word recognition process and how presentation conditions affect word recognition.

ANEW PSYCHOLOGICAL SERVICES, PLLC
Informed Consent Form • February 18th, 2020

Welcome to Anew Psychological Services, PLLC. This document contains important information about our services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations.

Collateral Reference Informed Consent Form
Informed Consent Form • February 27th, 2018

By signing this Agreement, I give my consent for the psychologist to be at liberty to request and receive information from myself in the conduct of this assessment. This process will be deemed as open indicating that any information obtained while working with the individuals or family may be used by the assessor in the report that may be provided to both parties or the court through their counsel (if applicable) upon completion of the process.

Adult Participant
Informed Consent Form • April 11th, 2017

I, the undersigned, being at least 18 years of age, and for myself, my personal representatives, my estate, heirs, and next of kin, and in consideration for the opportunity to participate in the event described below do hereby sign this waiver, release and indemnity agreement. I certify that I have reviewed this agreement and sign it voluntarily of my own free will.

Attachment B: Informed Consent Forms
Informed Consent Form • January 25th, 2016

The informed consent forms for the random assignment and non-random assignment grantees are included here respectively.

Adolescent Informed Consent Form & Parent Agreement to Respect Privacy
Informed Consent Form • November 9th, 2010

The purpose of meeting with a psychologist is to get help with problems or processes that are bothering you or interfering with being successful in important areas of life. You may have asked to meet with and talk to a therapist or this could have occurred because your parents, teachers, doctor or someone else has concerns about you. The process of therapy involves getting to know your perspective on these difficulties or predicaments in your life, developing an understanding of the nature of the difficulties, and generating better ways to cope with or manage those difficulties. Sometimes the predicament will disappear altogether, but other times learning to manage or cope with difficulties is a good outcome.

Ryerson University Consent Agreement
Informed Consent Form • November 26th, 2021

You are being invited to participate in a research study. Please read this consent form so that you understand what your participation will involve. Before you consent to participate, please feel free to email any questions you have to the co-investigators (Dr. Adiel Mallik, Zoe Thomson) to be sure you understand what your participation will involve. The co-investigators (Dr. Adiel Mallik, Zoe Thomson) and/or the research assistant will be facilitating the consent process.

Department of Psychology Minnesota State University Moorhead Informed Consent Form
Informed Consent Form • September 13th, 2021

Purpose of the study: We hope to learn what types of information influence the spoken word recognition process and how presentation conditions affect word recognition.

Agreement to be in the Study
Informed Consent Form • July 27th, 2020

You (“you” refers to you or your child throughout this consent form) are invited to take part in research using your medical data. Because you have systemic lupus erythematosus (SLE) or another form of lupus, you are uniquely positioned to help advance disease understanding and care. This document describes the purpose of this research study and how your data will be used, so that you can make an informed decision about participating in the study. Please take your time to read the following

EDI
Informed Consent Form • August 22nd, 2023
PROVIDER-CLIENT AGREEMENT:
Informed Consent Form • September 7th, 2022

This document contains important information about our professional services and business policies. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign this or at any time in the future.

INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT (to be executed by
Informed Consent Form • April 25th, 2023
Informed Consent Form
Informed Consent Form • June 14th, 2018

This document contains important information about Targeted Hypnotherapy’s professional services and business policies. It details privacy protections, patient rights and provisions, and explains how this Practice uses and handles your Personal Information for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them.

WRITTEN INFORMED CONSENT FORM (USE ONE FORM PER PARTICIPANT)
Informed Consent Form • February 11th, 2020
Adult Participant
Informed Consent Form • May 10th, 2018

I, the undersigned, being at least 18 years of age, and for myself, my personal representatives, my estate, heirs, and next of kin, and in consideration for the opportunity to participate in the event described below do hereby sign this waiver, release and indemnity agreement. I certify that I have reviewed this agreement and sign it voluntarily of my own free will.

Junior Informed Consent Form (Age 18 years and under)
Informed Consent Form • May 11th, 2016
This agreement is between Hanlie Boshoff, Narrative Counsellor in private practise
Informed Consent Form • August 10th, 2020
Relationship Coaching Informed Consent Form
Informed Consent Form • January 12th, 2022

Description of Service: Coaching is a relationship between a coach and the client. This Agreement is for coaching by Mr. Jay (hereinafter, the “Coach”). My Jay’s has a counseling educational background and has experience is in a broad range of areas, and he uses his own experience over the years in coaching. While there may be other issues as depression, ADHD, and anxiety that will be discussed during the relationship, this Coaching relationship may not be best suited for dealing with complex psychological issues. For those issues and at any time, you (hereinafter, the “Client”) may see a licensed mental health professional for such cure, therapy, and/or treatment. In commencing this Coaching relationship, you are agreeing that you understand the above and that you will be responsible for getting other treatment as needed separately through licensed therapists if needed.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!