Project Consent Form Page 4

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Attestation of Principal investigator/delegate:
I have fully explained to the above volunteer the nature and purpose of the above-
mentioned project, the possible complications which may arise from both known and
unknown causes as a result of thereof and the consequences and risks, if any, if the
volunteer decides to discontinue participation. I believe that he/she understands the
nature, purposes, and risks of these studies. I have also offered to answer any questions
relating to these studies and have fully and completely answered all such questions.
PI/Delegate____________________________________Date____________________
Name printed _______________________________________Title________

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