California Bill of Rights
California law, under Health & Safety Code 24172, requires that any person asked to take part as a subject in research involving a medical experiment, or any person asked to consent to such participation on behalf of another, is entitled to receive the following list of rights written in a language in which the person is fluent.
This rights are listed below. To participate in a clinical research study, you must read and check all check boxes, then digitally sign the form. You will receive a copy of this form by email.
Be informed of the nature and purpose of the experiment.
Be given an explanation of the procedures to be followed in the medical experiment, and any drug or device to be utilized.
Be given a description of any attendant discomforts and risks reasonably to be expected from the experiment.
Be given an explanation of any benefits to the subject reasonably to be expected from the experiment, if applicable.
Be given a disclosure of any appropriate alternative procedures, drugs or devices that might be advantageous to the subject, and their relative risks and benefits.
Be informed of the avenues of medical treatment, if any, available to the subject after the experiment if complications should arise.
Be given an opportunity to ask any questions concerning the experiment or the procedures involved.
Be instructed that consent to participate in the medical experiment may be withdrawn at any time and the subject may discontinue participation in the medical experiment without prejudice.
Be given a copy of the signed and dated written consent form. You will receive a copy by email.
Be given the opportunity to decide to consent or not to consent to a medical experiment without the intervention of any element of force, fraud, deceit, duress, coercion, or undue influence on the subject’s decision.
Proprietary and Confidential | Version 1.0 (1AUG2016)
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