Consent Form - Templates and Samples

Template and Example for Informed Consent when human subjects are anonymous.

Exhibit A - Template for Anonymous Survey

• Exhibit B - Example Consent for Anonymous Survey
• Exhibit C - Example Cover Letter for Anonymous Survey

Master Template and Example for Informed Consent - this format can be used for most research at Michigan Tech.

Exhibit D - Informed Consent Template for Research Involving Greater Than Minimal Risk OR in which Subjects are NOT Anonymous

• Exhibit E - Example of Informed Consent Document for Research Involving Greater than Minimal Risk OR in which Subjects are NOT Anonymous

Template and Examples for Informed Consent when human subjects are minors

Exhibit F - Template for Parental Permission Letter

• Exhibit G - Example Parental Permission Letter

Exhibit H - Template for Child Assent Form

• Exhibit I - Sample of Child Assent Form

SAMPLE - Consent Form for Use of Tissue in Research