Research & Clinical Trial Consent
Consent

Research & Clinical Trial Consent

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Research & Clinical Trial Consent
Participant Name
Date of Birth
Study Title & Description
Study ID / Protocol Number
Principal Investigator Name
Expected Duration of Participation
Emergency Contact
Research Participation Consent
I agree to the terms above
Sign here
Right to Withdraw Acknowledgment
I agree to the terms above
Sign here
Compensation Details
Participant Signature
Sign here
Investigator Signature
Sign here
Submit
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The Research & Clinical Trial Consent Form provides the comprehensive informed consent documentation required for human subjects research. It covers the essential elements mandated by the Common Rule (45 CFR 46), FDA regulations (21 CFR 50), and Institutional Review Board (IRB) requirements: study purpose and procedures, risks and benefits, alternatives, confidentiality protections, compensation details, and the right to withdraw.

The form uses a structured format that presents complex research information in an accessible way. The study description section explains the research question, what participation involves, the expected duration and number of visits, and any experimental procedures or interventions. Risks are presented with clear categorization by likelihood and severity, alongside potential benefits to the participant and to science.

Data use and privacy sections detail how participant data will be collected, stored, de-identified, and shared, including any biobanking or future use provisions. The voluntary participation section emphasizes that declining or withdrawing from the study will not affect the participant's standard medical care. This template can be customized for drug trials, device studies, observational research, and survey-based studies.

What's included

  • Participant identification with date of birth
  • Study description and procedure explanation
  • Study ID and protocol number tracking
  • Principal investigator identification
  • Expected participation duration
  • Emergency contact information
  • Research consent agreement with e-signature
  • Right to withdraw acknowledgment
  • Data privacy and confidentiality protections
  • Compensation and reimbursement details
  • Dual signatures (participant and investigator)

Who uses this template

  • Clinical research sites and academic medical centers
  • Pharmaceutical company-sponsored trials
  • Medical device studies
  • University-based research programs

All form fields

12 fields across 3 pages. Customize any field after signing up.

Participant NameText
Date of BirthDate
Study Title & DescriptionLong Text
Study ID / Protocol NumberText
Principal Investigator NameText
Expected Duration of ParticipationText
Emergency ContactText
Research Participation ConsentConsent Agreement
Right to Withdraw AcknowledgmentConsent Agreement
Compensation DetailsText
Participant SignatureE-Signature
Investigator SignatureE-Signature
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