1. A B Combined consent and compound HIPAA authorization
New HIPAA templates: Investigators will have a choice of two consent/HIPAA template formats (see A and B below) for studies that have optional additional procedures (including banking). For studies without additional optional procedures, option B should be used, and the entire section on Optional Additional procedures should be deleted. A B
Combined consent and compound HIPAA authorization
Combined consent and separate HIPAA authorization
Main consent
Main study procedures
Optional procedures with initial lines to agree/disagree (throughout)
Main HIPAA authorization section
Optional procedures HIPAA authorization
Main consent
Main study procedures
Main HIPAA authorization section
Signature block
___________________
Optional procedures consent
Optional procedures with initial lines to agree/disagree
Optional procedures HIPAA section
Signature block
___________________
Signature block
___________________