ࡱ> G #bjbj 80iia 8<DjZp($p&4^V%@&x{*F& q֠0 &xp6&&yZ X T:  UNIVERSITY OF WASHINGTON CONSENT TO VOLUNTEER AS A RESEARCH SUBJECT- SHORT FORM Title of Study: _____________________________________________________________ _________________________________________________________________________ Name of Lead Researcher, Department & Telephone Number: _________________________________________________________________________ You are being asked to participate in research. Because there is no written information about the research in your language, the information will be given to you verbally. With the help of an interpreter, the researchers will give you the same information that other participants would receive in English starting with information that is important to your decision about whether or not to participate. You can ask questions and can then decide whether to be in the research. If you agree to participate, you will receive a signed copy of this document and a copy of the written information in English. You may contact___________________________________ at phone number ( ) ________________ anytime you have questions about the research or if you believe you have been injured because of taking part in this study. You may contact the UW Institutional Review Board at 206-543-0098 or by email at  HYPERLINK "mailto:hsdinfo@uw.edu" hsdinfo@uw.edu if you have questions about your rights as a research subject. Sign below if: the research study has been described to you in a language you understand you have had a chance to ask any questions that you have about the study you voluntarily agree to participate NAME OF SUBJECT SUBJECT SIGNATURE DATE The verbal presentation of the consent information through an interpreter requires an impartial witness. The interpreter may serve as a witness. Sign below if you have witnessed the consent. NAME OF WITNESS WITNESS SIGNATURE DATE If a subjects capacity to consent is reduced, then they can participate in the research only if a legally authorized representative (LAR) provides consent on their behalf. NAME OF REPRESENTATIVE REPRESENTATIVE SIGNATURE DATE RELATIONSHIP TO THE SUBJECT     Document Date & VersionResearcher Date & Version06.01.2023[Insert consent form title]mm/dd/yyyyVersion 2.0Version x.xPage  PAGE 1 of  NUMPAGES 2 &/5QRS ( ) t u   ! 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