chrismb1
Posts: 78
Registered: Mar 2004 |
 Posted January 26th, 2010 12:01 PM IP   
Hi All,
An associate of David Wilcox, named Dr. Sevasti Koukouritaki, has sent this email concerning human clinical trials:
Dear Helen,
Happy New Year to you and your family!
I am sending you the updated 2010 consent forms for the GT study in case you want to send us any blood samples for analysis.
Each participant has to complete Assent (if Child) or Consent (if Adult) and HIPAA. Multiple participants from the same family can complete a single Questionaire.
Please let me know if you have any questions.
Best Regards
Sevasti
Sevasti Koukouritaki, PhD
Medical College of Wisconsin
Department of Pediatrics
Hematology/Oncology
MFRC Rm 6014
Tel: (414) 456-4636
____________________________ email ends.
There are 4 forms in all and links to download them (click the blue link) for printing and signing are here:
The 'If Child' Assent form is here: Assent form
The 'If Adult' Consent form is here: Consent Form
The HIPAA form is here: HIPAA form
The Questionaire form is here: Questionaire Form
(If clicking the above links does not open them, then right-click on the link, and choose 'Open in New Tab' from the menu which appears.)
______________________________
The forms are in .PDF format and can be read, and printed, with Adobe Reader. Reader is free and if you do not have it already installed on your computer, you may download it here at no charge: http://get.adobe.com/reader. As I understand it, the forms are to be printed, signed, and returned to Dr. Koukouritaki with the blood sample. Below is an email I received from Dr. Wilcox concerning shipping details, including shipping costs:
Hi Chris,
Patients have to sign Consent (adult) or Assent (for child), HIPPA and fill out family history form (Questionaire) and include in the box with blood samples that are sent to us. Most of the time, the facility collecting the blood will ship it and we will pay for the shipping cost. Most of time facility will not charge for blood draw although, if they do charge, we will pay for it. If facility does not ship, Dr. Wilcox will provide address and directions for shipping by fedex and Dr. Wilcox will pay for shipping.
I hope this helps,
Thank you,
David
_______________________ email ends.
Because of the legal aspects all this entails (medical records, etc.), any questions you have should be directed to Dr. Wilcox - email: dwilcox@mcw.edu, or to Dr. Koukouritaki at: skoukour@mcw.edu.
I hope this is of help to everyone interested in participating.
Chris
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