Office of Research Integrity
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Consent Templates/Waivers

Templates

IRB #1 Informed Consent Template  Download the Word version of this form
IRB #2 Informed Consent Template  Download the Word version of this form
IRB #2 Parental Permission/Consent Template  Download the Word version of this form
Child’s Assent Template  Download the Word version of this form
Anonymous Survey Consent – Sample  Download the Word version of this form (This template is not to be used for VA research.)
Online Anonymous Survey Consent – Sample  Download the Word version of this form (This template is not to be used for VA research.)
Verbal Informed Consent – Sample  Download the Word version of this form
HIPAA Consent Template  Download the Word version of this form
VA HIPAA Consent Template  Download the Word version of this form
VAMC Informed Consent Template  Download the Word version of this form
Short Form Consent Template  Download the Word version of this form
(Use in addition to the normal consent when you read the consent to a prospective participant.)

Waivers

Informed Consent Waiver  Download the Word version of this form
HIPAA Consent Waiver  Download the Word version of this form

The checklist below is for those who do not use the templates. This checklist will help ensure all the required elements are included:

Informed Consent Checklist  Download the Word version of this form Download the PDF version of this form