Research Proposal Abstract Form Page 3

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RESEARCH PROPOSAL ABSTRACT FORM
Ohio Department of Mental Health
DMH-RES-617
8. PROTECTION OF PARTICIPANTS (RESPONDENTS) (continued)
Type of Consent
What precautionary measures will be taken to insure the protection of participants on physical, psychological, social, legal and other issues?
(a) Type of consent to be obtained (written or oral): (Attach a copy of consent form, if one is to be used.)
(b) Describe procedures for obtaining informed consent:
(c) If participants are minors or mentally incompetent, describe how and by whom permission will be granted:
Confidentiality of Data
What precautions will be taken to safeguard identifiable records of individuals? These questions also apply if secondary sources of data will
be used.
(a) Consider the long-range use of data (by you and others):
(b) Consider the immediate use of data (by you and others):
(c) Describe the specific procedures to be used to ensure confidentiality of data:
REV. 3/96
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