The standard subject's statement text contains a bracketed statement
consisting of a sentence and instructions on when to include that
sentence. That bracketed statement appears just below.
[If relevant, add: I give permission to use my medical records as
described in this consent form.]
This bracketed statement should never be included as
it appears in the standard consent forms. Instead,
- If medical records are being used, omit the brackets and the
instructional clause, but retain the main embedded sentence
- If confidential records (e.g., academic records or counseling
records) other than medical records are being used, omit the
brackets and instructional sentence, and retain the embedded
sentence, but replace the qualifier "medical" with one
appropriate to the study (e.g., "academic").
- If no confidential records of any sort are being used, omit
the entire bracketed passage -- and the
brackets as well.
- If some other combination of circumstances pertains (e.g.
both medical and academic records are being used), it is that
particular configuration of circumstances and no other that
should be described.