Resources / Template
Sample Informed Consent Form Template
A structural starting point for a participant information and consent form — not a ready-to-use document.
1. Study title & researcher information
Study title, principal investigator name and contact information, institutional affiliation.
2. Invitation & purpose
A plain-language explanation of why the participant is being invited and what the study aims to find out.
3. What participation involves
What the participant will actually be asked to do, how long it will take, and how many times.
4. Voluntary participation & right to withdraw
A clear statement that participation is voluntary and can be withdrawn at any time without penalty, and what happens to already-collected data if they withdraw.
5. Risks & benefits
Any foreseeable risks (physical, psychological, social) and direct or indirect benefits of participating.
6. Confidentiality & data handling
How data will be stored, anonymized/de-identified, who will have access, and how long it will be retained.
7. Compensation (if any)
Any payment or reimbursement for participation, and terms if the participant withdraws early.
8. Contact information
Who to contact with questions about the study, and separately, who to contact regarding participant rights (often the IRB/ethics office, independent of the research team).
9. Consent statement & signature
A statement confirming the participant has read and understood the above, had the opportunity to ask questions, and agrees to participate — with signature and date fields for participant and researcher.