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Patient Consent Form
PATIENT CONSENT FORM
Read trial information for more information.
1. I confirm that I have read and understand the Trial Information for the above study and have had the opportunity to ask questions. 2. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal rights beig affected. 3. I understand that sections of any of my medical notes held by the clinical trials unit may be looked at by responsible individuals from ethics committees, or from regulatory authorities where it is relevant to my taking part in this research. I give permission for these individuals to have access to my records.