Week 9 Midweek Assignment Inform Consent Form

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Week 9 Midweek Assignment Inform Consent Form

Paper Instructions

Assignment

Task Submit to complete this assignment

Informed Consent Form

  • By the due date assigned, submit the Informed Consent Letter to the Submissions Area (please note that this is only an example and no data may be collected).

    Informed Consent Letter

  • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

    Informed Consent Letter Example

  • IRB Application

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Sample Answer

Week 9 Midweek Assignment Inform Consent Form

You are requested to participate in a study investigating how increasing access to naloxone can improve the opioid overdose problem.

You will be required to complete a questionnaire to collect information on your current demographic data, health condition, opioid use, and access to naloxone. Your name should not be indicated in the questionnaire. You are also free to ask any question for clarification when completing the questionnaire.

  1. The questionnaire will have no threatening questions, and there will be no anticipated risks. You may come across a question that is unpleasant or brings about a negative emotional state.
  2. There will be no form of compensation for participating in this study. However, the study findings will help promote better health outcomes in persons with opioid addiction and overdose.
  3. Your consent in this study is voluntary. You have a right to withdraw your participation in the study.
  4. The information provided in the questionnaire will be confidential and used for educational purposes. It will not be associated with your name and will not be disclosed to another party without your consent.

Date Signature of participant

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