Samples of Certificate

Samples of Certificate 

Patient Information

Patient Information

1. Purpose of research and benefits :
We are studying the

The present study will help us in

2. Possible risks:

3. Study procedures:

4. Confidentiality:
Your medical records will be treated with utmost confidentiality. The results of this study would be published in a scientific journal/thesis but you will not be identified by name.

5. Your participation and rights :
Your participation in this study is absolutely voluntary and you may withdraw from the study any time, without having to give reasons for the same. In any case, you will receive appropriate treatment for your condition at ,.

Signature of consenting Patient

Signature of Witness

Date:

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