Form 20AD087E "Generic Short Consent Form - Institutional Review Board (Dhsirb)" - Oklahoma

What Is Form 20AD087E?

This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 11, 2022;
  • The latest edition provided by the Oklahoma Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 20AD087E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

ADVERTISEMENT
ADVERTISEMENT

Download Form 20AD087E "Generic Short Consent Form - Institutional Review Board (Dhsirb)" - Oklahoma

Download PDF

Fill PDF online

Rate (4.8 / 5) 44 votes
Page background image
Oklahoma Human Services
Institutional Review Board (DHSIRB)
Generic Short Consent Form
Instructions
Form 20AD087E Generic Short Consent Form is used when the required elements of informed
consent are presented orally to research participants. This alternative to a written consent document
can be used when participants have limited English proficiency and the consent documents are not
available in a language understandable to them.
The Generic Short Consent Form lists the elements of informed consent to be presented orally to the
study participants, and must be signed by both the participant and a witness to the oral presentation.
A summary of what is to be said to the participant about each project element listed below needs to
be approved by the DHSIRB. The witness and the person obtaining the consent both sign the written
summary and provide a copy to the participant.
Investigators, however, may use the form that best fits the context, population, and other parameters
of the proposed study, as long as they include the elements listed below. Please refer to the research
description provided in
Form 20AD086E Generic Consent Form
for detailed information about basic
elements required for informed consent documentation.
Generic Short Consent Form
Dear Participant:
You are being asked to participate in a research project. The following information relating to the
project and your involvement has been provided to you orally:
Project title
Project purpose and objectives
Principal Investigator (PI) and Co-PI, when applicable
What participation entails
Risks or discomforts, and benefits
Privacy and confidentiality
If you have questions, contact the research team:
Research Team
Principal investigator
Address
Phone
Email address
Co-principal investigator, when applicable
Page 1 of 2
5/11/2022
20AD087E
Oklahoma Human Services
Institutional Review Board (DHSIRB)
Generic Short Consent Form
Instructions
Form 20AD087E Generic Short Consent Form is used when the required elements of informed
consent are presented orally to research participants. This alternative to a written consent document
can be used when participants have limited English proficiency and the consent documents are not
available in a language understandable to them.
The Generic Short Consent Form lists the elements of informed consent to be presented orally to the
study participants, and must be signed by both the participant and a witness to the oral presentation.
A summary of what is to be said to the participant about each project element listed below needs to
be approved by the DHSIRB. The witness and the person obtaining the consent both sign the written
summary and provide a copy to the participant.
Investigators, however, may use the form that best fits the context, population, and other parameters
of the proposed study, as long as they include the elements listed below. Please refer to the research
description provided in
Form 20AD086E Generic Consent Form
for detailed information about basic
elements required for informed consent documentation.
Generic Short Consent Form
Dear Participant:
You are being asked to participate in a research project. The following information relating to the
project and your involvement has been provided to you orally:
Project title
Project purpose and objectives
Principal Investigator (PI) and Co-PI, when applicable
What participation entails
Risks or discomforts, and benefits
Privacy and confidentiality
If you have questions, contact the research team:
Research Team
Principal investigator
Address
Phone
Email address
Co-principal investigator, when applicable
Page 1 of 2
5/11/2022
20AD087E
Address
Phone
Email address
If you have questions or concerns about your rights as a research participant, contact a DHSIRB
representative who oversees research involving human participants at:
Sequoyah Memorial Office Building
2400 N. Lincoln Boulevard
Oklahoma City, OK 73105
DHS.IRB.Application@okdhs.org
Agreement and Signatures
Information about the project and my involvement were presented orally to me. My signature on this
form means I agree to participate in the described research study. I understand that I will be given a
signed and dated copy of this form long with other printed materials deemed necessary by the
research team.
Participant name
Age
Participant signature
Date
Participant's parent, guardian or legal representative signature, when applicable Date
Witness name
Witness signature
Date
20AD087E
5/11/2022
Page 2 of 2
Page of 2