ࡱ> wzv ibjbjyy &S  ^^8,$.(""888 '''''''$ *,T'  '^^88'"""" ^88'" '""%2T%8]C~!"%''<.(%-!-%%8-5&L " ''@" .( -  $:   Blood Screening Consent Form I confirm that I have read and understand the participant screening information sheet dated 15/02/2015 version 5.0 for the above study. I have had the opportunity to consider the information, ask questions and these have been answered satisfactorily. I agree to provide a blood sample for thyroid antibody and thyroid function testing. I understand that the thyroid test results and data collected at screening will be anonymised, and looked at by researchers at The University 鶹ѡ, and I give my permission for these individuals to have access to my anonymised information. I understand that sections of any of my medical notes may be looked at by responsible individuals from the research team, regulatory authorities or from the NHS Trust where it is relevant to my taking part in research. I give permission for these individuals to have access to my records I understand that my participation is voluntary and that I am not obliged to take part in the subsequent trial, and that my medical care or legal rights will not be affected. _________________________ _______________ ________________________ Name of Patient Date Signature _________________________ _______________ ________________________ Name of Researcher Date Signature 3 Copies of Consent Forms: 1 copy for patient, 1 copy for site file, 1 copy to be kept in patients hospital notes      ISRCTN:15948785 Patient Screening Consent Form EudraCT: 2011-000719-19  PAGE 1 V 4.0 15/02/2015 V2.0 15/4/2011 Patient Screening Information V2.0 15/4/2011 Thyroid AntiBodies and LEvoThyroxine Study Please initial boxes !"d ! 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