Informed Consent for Cardiovascular Research Participation

Study Information

Title of Research Study: [INSERT STUDY NAME] Principal Investigator: [INSERT NAME] Institution: [INSERT INSTITUTION] Study ID: [INSERT NUMBER]

Purpose

You are being invited to participate in a research study investigating [INSERT SPECIFIC CARDIOVASCULAR CONDITION/TREATMENT]. This document explains the study's purpose, procedures, risks, and benefits.

Study Procedures

Duration

• The study will last approximately [INSERT TIME PERIOD]
• You will need to visit the clinic [INSERT NUMBER] times

Required Procedures

1. Medical history review
2. Physical examination
3. Blood tests: [SPECIFY TESTS]
4. Cardiac imaging: [SPECIFY TYPE]
5. [ADD ADDITIONAL PROCEDURES]

Risks and Discomforts

• Common risks: [LIST]
• Rare but serious risks: [LIST]
• Confidentiality risks

Benefits

• Direct benefits: [SPECIFY IF ANY]
• Indirect benefits: Contribution to medical knowledge

Financial Considerations

• Compensation: [SPECIFY AMOUNT/NONE]
• Costs: [SPECIFY COVERED/NOT COVERED ITEMS]

Voluntary Participation

Participation is voluntary. You may withdraw at any time without affecting your regular medical care.

Authorization

I have read and understood this consent form:

Participant Name (Print)

Participant Signature

Date

Investigator Signature