UNIVERSITY OF CALIFORNIA, IRVINE

CONSENT TO ACT AS A HUMAN RESEARCH SUBJECT

 

UCI 14-89: Hematologic Malignancies Biorepository for human research

 

You are being asked to participate in a research study.  Participation is completely voluntary.  Please read the information below and ask questions about anything that you do not understand.  A researcher listed below will be available to answer your questions.

 

 

RESEARCH TEAM
Members of your health care team including doctors, nurse practitioners, nurses, and research staff at UC Irvine's Chao Family Comprehensive Cancer Center are part of this research team.

Lead Researcher

Angela G. Fleischman M.D., Ph.D.

Department of Medicine

Division of Hematology/Oncology

24-Hour Telephone Number/Pager: (714) 456-8000

 

STUDY LOCATION:

University of California, Irvine

 

STUDY SPONSOR:

University of California, Irvine

 

WHY IS THIS RESEARCH STUDY BEING DONE?

UC Irvine Medical Center is both a treatment and a research hospital. As a patient here, you may be treated by some doctors who are also researchers performing studies to improve treatments currently available. Your health care provider is inviting you to participate in the research study described in this form.