Research Consent Form Template – Canada

The Research Consent Form Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. These formats are both customizable and ready for printing, catering to your specific requirements with convenience.


Sample

Research Consent Form Template – Canada

Editable – Printable



1. Research Study Title

2. Principal Investigator

3. Purpose of the Research

4. Participation Requirements

5. Procedures

6. Potential Risks and Discomforts

7. Benefits of Participation

8. Confidentiality

9. Voluntary Participation

10. Contact Information

11. Consent




PDF


WORD

Examples


Research Consent Form Template – Canada (1)
Study Title:
[Study Title]
Researcher:
[Researcher’s Name]
[Researcher’s Institution]
[Researcher’s Address]
[Researcher’s Phone]
[Researcher’s Email]
Introduction:
You are invited to participate in a research study. This form provides detailed information regarding the study’s purpose, procedures, risks, and benefits. Your participation is voluntary.
Purpose of the Study:
The purpose of this research is to [describe the purpose of the study].
Study Procedures:
If you agree to participate, you will be asked to [describe the procedures involved].
Risks and Discomforts:
There are potential risks associated with participation in this study, including [list any risks]. Every effort will be made to minimize these risks.
Benefits:
Your participation may contribute to [describe potential benefits to participants or society].
Confidentiality:
All information collected will be kept confidential to the extent permitted by law. Your identity will remain anonymous in all reports and publications resulting from this study.
Voluntary Participation:
Participation in this study is completely voluntary. You may withdraw at any time without any consequences.
Contact Information:
If you have any questions about the study or your participation, please contact [Researcher’s Name] at [Phone] or [Email].
Consent:
By signing below, you indicate that you have read and understood the information provided above and agree to participate in the study.
Participant’s Name: ________________________
Participant’s Signature: ________________________
Date: ________________________
Research Consent Form Template – Canada (2)
Study Title:
[Study Title]
Researcher:
[Researcher’s Name]
[Researcher’s Institution]
[Researcher’s Address]
[Researcher’s Phone]
[Researcher’s Email]
Purpose of the Study:
The purpose of this research is to investigate [detailed purpose of the study].
Eligibility:
You are eligible to participate if you are [criteria for participation].
Study Procedures:
If you choose to participate, you will undergo the following process: [describe the process, including length and any required assessments].
Potential Risks:
While participation is safe, there are some possible risks, such as [list possible risks]. We will take measures to protect your safety.
Benefits:
Participation may provide insights into [describe how the research benefits participants or society as a whole].
Confidentiality Assurance:
Data collected will be stored securely and will not be shared with unauthorized third parties.
Right to Withdraw:
You have the right to withdraw from the study at any time without penalty.
For More Information:
Please feel free to contact [Researcher’s Name] at [Phone] or [Email] for any questions or concerns.
Participant Agreement:
By signing below, you agree to participate in the study and acknowledge that you have understood the information provided above.
Participant’s Name: ________________________
Participant’s Signature: ________________________
Date: ________________________

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Research Consent Form Template - Canada