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 INFORMED CONSENT FORM

General Information:

You will be participating in classroom, laboratory, or clinical activities in which learning may utilize student subjects as part of the training procedures, demonstrations/and or experiments.  As part of your learning activities, you may be asked to perform specific skills or be asked to be the subject of specific skills practiced by other students.

All learning activities that use student subjects will be conducted under the supervision of the instructor who has been assigned to teach the course.

Benefits:

The experiences listed below have been selected because they are skills essential to the learning process and the faculty believe that realistic practice is essential for optimum learning.  Participation will enhance the learning process and the acquisition of technical skills.  An alternative experience may not provide as realistic an opportunity to practice and, therefore, may result in less effective learning.  Specific benefits are listed below.

Risks/Discomforts:

Participation may create some anxiety for you.  Some of the procedures may create minor physical discomfort.  Specific risks/discomforts are listed below.

Your Rights:

You have the right to withdraw consent for participation and to withdraw consent after it has been given.  If you withhold consent, you may be required to participate in an alternative learning experience.  If you do not participate in either the planned or the alternative activity, you may not be able to successfully complete the course.  You may ask questions at any point if something is unclear to you.

Implied Consent:

If a student withholds consent for one of the activities listed below, but later chooses to participate, they must submit a new Informed Consent Form indicating consent.  It is the students responsibility to update this form.  Students that submit an Informed Consent Form agree that they have read and understand the risks/discomforts and benefits described for each activity.  Consent will be implied if a student chooses to participate in one of the activities listed below after previously withholding consent.