Note to Investigator: Informed Consent is the knowing consent of an individual or his/her legally authorized
representative that is obtained without undue inducement or element of force, fraud, deceit, duress, or other
forms of constraint or coercion. A consent form documents voluntary and informed consent. This document is
designed to provide information to the potential subject about the research and the subject's potential
Use this format in all non-exempt research. Red text are instructions, please delete all instructions written
in red once the informed consent is complete. The content of this consent must be written in the 2nd
person and target a sixth to eighth grade reading level. Use the section headings within this template and at
least an 11 -12 point font.
If the investigator is using multiple consent forms for the same study, please complete separate informed
consent forms. DELETE THIS “Note to Investigator” BOX BEFORE SUBMITTING THE INFORMED
CONSENT FORM TO THE vIRB.