Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada

Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada

What Is Form FPO0802A?

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

FAQ

Q: What is the purpose of Form FPO0802A?A: The purpose of Form FPO0802A is to collect follow-up population contact information and consent in Nevada.

Q: Who needs to complete Form FPO0802A?A: Anyone who participated in the Nevada Youth Tobacco Survey (NYTS) and is being contacted for follow-up needs to complete Form FPO0802A.

Q: What information is collected in Form FPO0802A?A: Form FPO0802A collects contact information such as name, address, phone number, and email address. It also collects consent for future contact and access to health records.

Q: Do I have to give consent to complete Form FPO0802A?A: No, giving consent is optional. However, providing consent allows for future follow-up and access to health records.

Q: What will my contact information be used for?A: Your contact information will be used for future follow-up surveys and potential access to health records for research purposes.

Q: Is my information shared with third parties?A: No, your information will not be shared with third parties. It will only be used for research and follow-up purposes.

Q: Can I opt out of future follow-up surveys?A: Yes, you can opt out of future follow-up surveys by indicating your preference on Form FPO0802A.

Q: Can I revoke my consent after completing Form FPO0802A?A: Yes, you can revoke your consent at any time by contacting the organization conducting the survey.

Q: Is completing Form FPO0802A mandatory?A: No, completing Form FPO0802A is voluntary. However, providing accurate information helps with research and follow-up efforts.

ADVERTISEMENT

Form Details:

  • Released on February 22, 2011;
  • The latest edition provided by the Nevada Department of Health and 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 printable version of Form FPO0802A by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

Download Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada

4.5 of 5 (49 votes)
  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada

    1

  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 2

    2

  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 3

    3

  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 4

    4

  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 1
  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 2
  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 3
  • Form FPO0802A Nytd Follow-Up Population Contact and Consent - Nevada, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT