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Get INFORMED CONSENT OBSERVATION/EVALUATION - Ouhsc

Ve consent allowing QI to observe the consent process? Where is the consent process taking place? 3. Describe the physical environment: 4. Name of the individual conducting the consent process: 5. 6. 7. 8. 9. 10. or For Cause Expiration: IRB Number: Name of person conducting the evaluation: 1. Routine Date: Time evaluation started/ended: Start: Ended: 9 COMMENTS/ACTIONS Yes No Office Exam room Hospital room ER OR holding Clinical Trials Office Other: Quiet Loud Calm.

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