Clinical Trial Consent Form

Clinical Trial Consent Form — Form Fields

This healthcare template includes 9 fields. Obtains informed consent from participants enrolling in a clinical research study. Free to customize and use on ZenBuild.

• Participant Full Name (text, required)
• Date of Birth (text, required)
• Email Address (email, required)
• Study / Trial Name (text, required)
• Have you read and understood the participant information sheet? (multiple choice, required) — options: Yes, No
• Do you voluntarily agree to participate in this study? (multiple choice, required) — options: Yes, I consent, No, I decline
• Do you consent to your data being used for future research? (multiple choice, required) — options: Yes, No
• Questions or concerns before enrolling (long text, optional)
• Participant Signature (signature, required)