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informed consent form
सूचित सहमति फारम
Dernière mise à jour : 2018-07-07
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consent form
सहमति फारम
Dernière mise à jour : 2021-09-23
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consent form to take pictures
तस्विर लिनको लागि स्वीकृति फाराम
Dernière mise à jour : 2021-01-21
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i confirm that i have been informed about the type of research being conducted and have had opportunity to ask questions about the research. i voluntarily agree to participate in this study.i also understand i can withdraw from this research at any time without giving reasons and without negative consequences.i along with the researcher ,agree to sign and date this consent form.
मँ पुष्टि गर्दछु कि मलाई अनुसन्धानको प्रकार बारे सूचित गरिएको छ र अनुसन्धानको बारेमा प्रश्नहरू सोध्ने अवसर पाएको छु। म स्वेच्छाले यस अध्ययनमा भाग लिन स्वीकार गर्दछु। म यो पनि बुझ्छु कि कुनै पनि कारण बिना र नकारात्मक नतिजा बिना म यो अनुसन्धानबाट फिर्ता लिन सक्छु।
Dernière mise à jour : 2020-03-11
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could such drugs be used to minimize the illness of covid-19 infection in healthcare staff and people at high risk of developing severe illness?enrolling people with covid-19 infection is simplified by using data entries, including informed consent, on a who website.
के यस्ता औषधिहरू स्वास्थ्यस्याहार कर्मचारीहरू र गम्भीर बिरामी हुने उच्च जोखिममा भएका मानिसहरूलाई covid-19 सङ्क्रमणको बिमारी कम गर्न प्रयोग गर्न सकिन्छ? who वेबसाइटमा सूचित गरिएको सहमति सहित डाटा प्रविष्टिहरू प्रयोग गरेर covid-19 बाट सङ्क्रमण भएका मानिसहरूका लागि भर्ना सरल बनाइएको छ।
Dernière mise à jour : 2020-08-25
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consent no: consent form for research “detection of fluoroquinolones concentration and fluoroquinolone resistant genes amongst fluoroquinolone resistant biofilm and non biofilm producing bacteria isolated from covid-19 patients” lab no: d m y date: patient information name: ………………………………................... age: …………..... gender: male female others occupation: ...………….. reporting centre: ………………………………................................................................... mobile: ………………………………................... telephone: ………...……. residing address: ………………………… permanent address: ……………..……... i, ………………………………………., hereby provide my informed consent to get my blood/serum and blood/urine/body fluids/others (……………………) tested for assessing bacterial co-infections and also evaluating the serum levels of procalcitonin. the significance, relevant information & pre-test counseling have been provided to me. i have been explained fully the probable side effects too. i value and respect the outcome of this research and i am volunteering the research as per my free will and have not been influenced by any person. i have the right to withdraw from the study at any time without in any way affecting my medical care. i understand that my result shall be kept confidential. i authorize the following person/ agency to collect the sample/report on my behalf. signature/thumb print (any one) self sign right left ref. agency sign right left guardian sign right left *in case of minors, consent form to be signed by either of the parents / legal guardian *in adoption cases, consent form to be signed by orphanage / ngo / adopting parents *in case of incapacitated or hospitalized patients, consent to be signed by next of kin or doctor collected by: ...................................... signature: ......................................
Dernière mise à jour : 2020-12-16
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