Consent to Participate Form-Example

Description

An example consent-to-participate form that was used in a technology-enhanced Care Transitions Intervention® pilot program. The example explains to patients what to expect and what is required if they participate in the program and asks for a signature if they wish to participate.

Audience

Program planners and managers, and professionals involved in care transitions programs and informed consent. Consumers/patients are the ultimate audience for the form.

Helpful Tips

For other examples of patient consent forms, visit other sections of the ADOPT Toolkit.

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