Consent and Assent Form Templates


Consent Form Templates

Sample Assent Forms

Other Forms

Exempt Consent Templates and Guidance


Consent Form Templates

These templates are appropriate for studies that require expedited or full committee review. There are separate consent templates for exempt research, which includes some research that involves educational tests, surveys, interviews or focus groups.

Please note:

Template by Type of Research

Last Updated

Biomedical and Cancer


Biomedical and Cancer - Benioff Children's Hospitals Logo

September 2020  (Common Rule Compliant)

September 2020 (Common Rule Compliant)

Social or Behavioral


Social or Behavioral - Benioff Children's Hospital Logo

April 2019 (Common Rule Compliant)

May 2020 (Common Rule Compliant

One-time Survey


One-time Survey - Benioff Children's Hospital Logo

June 2019 (Common Rule Compliant)

June 2020 (Common Rule Compliant)

Simple Blood Draw

April 2019 (Common Rule Compliant)

Biological Specimens – GWAS Compliant


Biological Specimens - GWAS Compliant - Benioff Children's Hospital Logo

July 2020 (Common Rule Compliant)

July 2020 (Common Rule Compliant)

Consent to Be Contacted for Future Research

December 2015
Telephone Script (Main Study Procedures) -- Use this if you are conducting consent for study procedures over the telephone (verbal consent) August 2019
Telephone Script (Eligibility Screening only) -- Use this if the verbal consent is only for an over-the-phone eligibility screening. August 2019

Consent Form Addendum (general) —Use if you need to provide new study info to previously enrolled subjects.


Consent Form Addendum  - Benioff's Children's Hospitals Logo

July 2020


July 2020

Enrollment Exception Consent Form Addendum -- Use if you are submitting a Protocol Enrollment Exception Request Form and there is a specific risk information for the individual subject. January 2018
Expanded Access Consent Form Template October 2020

Humanitarian Use Device —You may also use the sponsor’s version of the consent form, as long as you modify it to identify the UCSF investigator's name, department, and local contact number and provide the contact number for the UCSF IRB (415-476-1814).

May 2016

VA Consent Form 10-1086 Template — See the SFVAMC page for info on this form.


Sample Assent Forms

Age of Children Last Updated
Assent #1 - For children 7-12 (simple) December 2004
Assent #2 - For more complex study, more mature children December 2004
Assent #3 - For adolescents 13-17 September 2020
Guidance on Obtaining Assent and Parental Permission  

Other Forms

UCSF Subject Authorization for Release of PHI for Research and Additional HIPAA-related Forms and Guidance

Experimental Subjects Bill of Rights (English) and Other Languages

Federal Requirements for Approving Consent Forms Checklist (Note: UCSF consent form templates incorporate all of the federal requirements.)

Consent Form Checklist for Using a Non-UCSF Consent Form