[dr. bob]

Psycho-Babble
by Dr. Bob

This specific protocol is considered a research study because its results may be published or presented. Consent to participate in research is therefore required to take part.

Consent by Subject for Participation in a Research Protocol: Information about the Study

Protocol number: 13459A
Study title: User feedback to inform health care providers about online peer support groups
Doctors directing research: Robert Hsiung, MD, Associate Professor of Psychiatry, University of Chicago; Joshua Freedman, MD, Assistant Clinical Professor of Psychiatry, UCLA
E-mail address: dr-bob@uchicago.edu

You are being asked to participate in a research study. Robert Hsiung, MD, aka Dr. Bob, is available to explain what is involved in this study and how it will affect you. This consent form describes the study procedures, the risks and benefits of participation, and how your confidentiality will be maintained. Please take your time to ask questions and feel comfortable making a decision whether to participate or not. This process is called informed consent. If you decide to participate in this study, you will be asked to take a quiz on this information.

Again, if you have any questions about this, please e-mail Dr. Bob at dr-bob@uchicago.edu.

If you understand the potential risks and benefits of this study and still want to participate, please:

Verify your eligibility: Name:
Password:
Whether you are pregnant: Yes
No
And then:

If you do not want to participate in this study, then:

return to the Psycho-Babble home page

Thank you.


[dr. bob]

Dr. Bob is Robert Hsiung, MD, dr-bob@uchicago.edu

Revised: October 21, 2004
URL: http://www.dr-bob.org/babble/consent-feedback.html


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