ࡱ> WYV!` %bjbj\\ > >>#  8 T2 \T^T^T^T^T^T^T$VhwXT T T   \T \T   kp \TT0T,Y YYpD    ) X TT T D   EXPERIMENTAL SUBJECTS BILL OF RIGHTS MEDICAL RESEARCH California Assembly Bill 1752: Human Experimentation, which became effective January 1, 1979, provides that all investigators doing a "medical experiment" must offer their subjects a copy of the "Experimental Subject's Bill of Rights as included below. A "medical experiment" is defined in the bill as: "The severance or penetration or damaging of tissues of a human subject, or the use of a drug or device as defined in section 26009 or 26010 (of the Health and Safety Code), electromagnetic radiation, heat or cold, or a biological substance or organism, in or upon a human subject in the practice or research of medicine in a manner not reasonably related to maintaining or improving the health of such subject or otherwise directly benefiting such subject." Any person who is requested to consent to participate as a subject in a research study involving a medical experiment, or who is requested to consent on behalf of another, has the right to: Be informed of the nature and purpose of the experiment. Be given an explanation of the procedures to be followed in the medical experiment, and any drug or device to be used. Be given a description of any attendant discomforts and risks reasonably to be expected from the experiment, if applicable. Be given an explanation of any benefits to the subject reasonably to be expected from the experiment, if applicable. Be given a disclosure of any appropriate alternative procedures, drugs, or devices that might be advantageous to the subject, and their relative risks and benefits. Be informed of the avenues of medical treatment, if any, available to the subject after the experiment if complications should arise. Be given an opportunity to ask any questions concerning the experiment or other procedures involved. Be instructed that consent to participate in the medical experiment may be withdrawn at any time, and the subject may discontinue participation in the medical experiment without prejudice. Be given a copy of a signed and dated written consent form when one is required. Be given the opportunity to decide to consent or not to consent to a medical experiment without the intervention of any element of force, fraud, deceit, duress, coercion, or undue influence on the subjects decision. SIGNATURES FOR CONSENT I have carefully read the information above in the Experimental Subjects Bill of Rights. I fully understand my rights as a potential subject in a medical experiment involving people as subjects. ________________________________________________________________________________ Subjects signature Date (must be in subjects handwriting) ________________________________________________________________________________ Subjects legally authorized representative Date (must be in representatives handwriting) When the subject is unable to sign; indicate relationship, e.g., mother, father, husband, wife, daughter, son, etc. ________________________________________________________________________________ Witnesss signature Date 89:8 9 : (*+<"#$%´ۣp^ZVZhz h;y#hhz CJOJQJ\^JaJ hhz CJOJQJ^JaJ&hhz >*CJOJQJ\^JaJhz CJOJQJ^JaJ hhz CJOJQJ^JaJhz CJOJQJ^JaJ#h'rYhz 6CJOJQJ^JaJ h'rYhz h'rYhz CJOJQJ^JaJ&h'rYhz 5CJOJQJ\^JaJ9:l 8 9 : 1 $ >) & F h^`gdz h`hgdz h^h`gdz $h1$7$8$H$]^h`a$gdz $h1$7$8$H$`ha$gdz 1$7$8$H$gdz $a$gdz #$7*F8" h`hgdz gdz  ^`gdz  & F h^`gdz "#$%<00&PP:pz / =!"8#`$% <P`P z Normal1$7$8$H$CJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List%  " & @0r 00" 9:l89:1$>)7   * F 8  " # & 0000000 0 0 0 0 0 0 0 0 0 0000000000000000000000009  8  " & @04@04K00K00K00K00K00K00K00K000 0 @0 00" % "% $ 8@0(  B S  ?GI & " & >*urn:schemas-microsoft-com:office:smarttags PersonName t& < & 3 " & & x^Zhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHx^Z         ^%-1U4?677&?@SM[_kpI|GJ= `2)//Y02^76;IPS7Wfkov|pz/6;DGL`WW^dseeoGt  X !C-=-EY2fyLF!'*\-P;AChH4QRB^bjo@pq` Pc Fg i /o F~  1  &  : : F G R T ^ 5b g Vr u   -  =  ' +- 7 H W yb e o { x  *+ B rG X ` g ?m [o pr r +]2LR_cchSnv| j,! 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