Model Consent Form Template UK

The Model Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring both editable and printable versions for your convenience.


Sample

Model Consent Form Template UK

Editable – Printable



Model Consent Form Template UK

1. Participant Information


2. Researcher Information


3. Research Purpose

4. Description of the Study

5. Risks and Benefits

6. Confidentiality

7. Voluntary Participation

8. Contact Information

9. Consent Statement

10. Signatures




PDF


WORD

Examples


Model Consent Form Template UK (1)
Consent Provided By:
[Name of the Participant]
[Participant’s ID or Reference Number]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
Purpose of Consent:
This form is intended to seek consent from the Participant for [describe the specific purpose, e.g., participating in a clinical trial, using personal data for research, etc.].
Details of Participation:
The Participant has been informed of the following details regarding their involvement: [Provide details about the study or project, including duration, procedures, risks, and benefits].
Confidentiality:
All personal information collected during this process will be treated confidentially and in compliance with GDPR regulations. The data will be used solely for the purposes stated above.
Right to Withdraw:
The Participant has the right to withdraw their consent at any time without any adverse consequences. Such a withdrawal should be communicated in writing.
Consent:
By signing below, the Participant agrees to participate in the [name of the project/study] and acknowledges that they understand the information provided.
Signed on [Date] in [City].
Sincerely,
[Signature of the Participant]
[Name of the Participant]
[Signature of the Investigator/Researcher]
[Name of the Investigator/Researcher]
Model Consent Form Template UK (2)
Participant Details:
[Name of the Participant]
[Participant’s ID or Reference Number]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]
Research Study Title:
[Title of the Research Study]
Study Purpose:
The purpose of this study is to [provide a detailed explanation of the study and its objectives].
Procedures:
Participants will undergo the following procedures: [List the procedures involved in the study, e.g., surveys, assessments, interviews].
Potential Risks:
Participants should be aware of potential risks, including [describe any risks or discomforts that may occur].
Benefits:
Participation may offer benefits such as [describe any potential benefits to the participant or to society].
Data Handling:
Any data collected will be handled in accordance with GDPR and will remain confidential, accessible only to authorized personnel.
Withdrawal Rights:
Participants may withdraw consent at any stage without any impact on their rights. Withdrawal must be communicated to the researcher.
Consent Declaration:
I, the undersigned, confirm that I have understood the details of the study and agree to participate, having had the opportunity to ask questions.
Signed on [Date] in [City].
Sincerely,
[Signature of the Participant]
[Name of the Participant]
[Signature of the Investigator]
[Name of the Investigator]

Printable



Model Consent Form Template UK