Sample Consent Form with HIPAA Authorization (FOR206)

Leave an area approximately 1 inch at the top right of the first page for the IRB approval stamp. ... (measures the electrical activity of the heart) heart rate. ... You will be paid $10 for each study visit, including the placebo phase of the study. If you withdraw from the study, you will be paid $10 for each study visit made to the clinic. ................
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