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   The disease   |    Protocol of study of Brugada syndrome   |    Genetic testing   |
   Making decisions


Consent forms / Clinical information form.


We CAN NOT proceed with genetic analysis without the consent form signed.

English Speaking Participants
  • If the participant speaks English you must use the long consent form.
Non-English Speaking Participants
  • Short consent forms are acceptable if the participant does not speak English. If the participant's language is not available as one of the consent forms, you may translate it (e-mail us (ramon@brugada.org) if you need the English short consent form to be used as a template for translation.) The new translation must be approved by our IRB committee before proceeding with blood extraction.
  • You will notice that when you download a short consent form, you will also download the English long consent form (to be used as a summary of the research protocol). The investigator has to explain to the participant the information indicated in the short consent form in a language understandable to him in front of a witness.
  • The participant and the witness must sign the short consent form.
  • The person obtaining consent and the witness must sign the long consent form.
  • Please give a copy of both documents to the participant and enclose both signed consent forms with the blood package.

Please include in the package the clinical information form and a copy of the tests that you consider necessary, ECG, EPS, etc. Do not hesitate to contact us for any questions. Thanks for your collaboration