Informed Consent Form Template UK

The Informed Consent Form Template UK is accessible in multiple formats including PDF, Word, and Google Docs, offering both editable and printable versions for your convenience.

Open – Template

Online – Template

Sample

Informed Consent Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Informed Consent Form Template UK

1. Participant Information


2. Researcher Information



3. Study Title and Purpose

4. Study Procedures

5. Potential Risks and Benefits

6. Confidentiality and Data Protection

7. Voluntary Participation

8. Consent Agreement

9. Signatures and Declaration



PDF

WORD

Examples

Informed Consent Form Template UK (1)
Client Information:
[Client’s Name]
[Client’s Date of Birth]
[Client’s Address]
[Client’s Contact Number]
Service Provider Information:
[Name of the Practitioner]
[Practitioner’s Registration Number]
[Practitioner’s Address]
[Practitioner’s Contact Number]
Introduction:
This Informed Consent Form outlines the details of the treatment or service being provided and ensures that the Client is aware of the potential risks and benefits associated with it.
Purpose of the Treatment:
The purpose of the treatment is to [describe the treatment or procedure], which aims to [explain intended outcomes].
Risks and Benefits:
The Client acknowledges that while there are potential benefits, there are also risks involved, including: [list potential risks]. The benefits may include: [list potential benefits].
Alternatives:
The Client has been informed of the alternative options available which include: [list alternatives], along with the associated risks and benefits of each.
Confidentiality:
The information provided will be kept confidential as per GDPR regulations unless otherwise required by law.
Voluntary Consent:
The Client understands that participation in the treatment is voluntary and can withdraw consent at any point during the process.
Agreement:
I, [Client’s Name], have read and understood the terms outlined in this consent form, and I voluntarily consent to the proposed treatment.
Signed in [City], on [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]
Informed Consent Form Template UK (2)
Client Information:
[Client’s Name]
[Client’s Date of Birth]
[Client’s Address]
[Client’s Contact Number]
Service Provider Information:
[Name of the Practitioner]
[Practitioner’s Registration Number]
[Practitioner’s Address]
[Practitioner’s Contact Number]
Introduction:
This document serves to obtain informed consent regarding the treatment process for [describe treatment], which is intended to [explain outcome goals].
Treatment Details:
During the treatment, the Client will undergo the following procedures: [outline specific procedures].
Risks and Considerations:
The Client acknowledges understanding of the risks associated with this treatment, including but not limited to: [list risks]. The benefits may include: [list benefits].
Right to Refuse:
The Client has the right to refuse treatment at any time and is encouraged to ask questions regarding the process.
Confidentiality Assurance:
All information collected will be maintained confidentially in accordance with applicable data protection laws.
Consent Statement:
By signing below, I affirm that I have read and understood this form and willingly consent to proceed with treatment.
Signed in [City], on [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]

Printable

PDF – 1 PDF – 2

Informed Consent Form Template UK