{"id":737,"date":"2018-05-03T11:22:58","date_gmt":"2018-05-03T11:22:58","guid":{"rendered":"https:\/\/az.research.umich.edu\/medschool\/document\/assent-template\/"},"modified":"2026-02-23T11:20:28","modified_gmt":"2026-02-23T16:20:28","slug":"assent-template","status":"publish","type":"document","link":"https:\/\/az.research.umich.edu\/medschool\/templates\/assent-template\/","title":{"rendered":"Assent Template"},"template":"","categories":[24],"tags":[],"content-type":[25],"topic":[26,75,67],"update-type":[],"class_list":["post-737","document","type-document","status-publish","hentry","category-institutional-review-boards-irbmed","content-type-templates","topic-informed-consent-assent","topic-regulations-policies-federal-state-local","topic-subject-populations"],"acf":{"use_legacy_editor":true,"updated_date":"2014-01-13 14:15:00","update_notice":true,"author":"IRBMED","summary":"<strong>(Recommended for ages 10 to 14-years-old as well as 14 to 17-year-olds when the study involves drug or pregnancy testing and\/or birth control.)<\/strong>\r\n\r\nDownload the template below or join the pilot project for the <a href=\"https:\/\/hrpp.umich.edu\/informed-consent-builder-pilot\/\">Informed Consent Builder<\/a> tool.\r\n\r\nReturn to <a href=\"https:\/\/medresearch.umich.edu\/office-research\/about-office-research\/our-units\/institutional-review-boards-irbmed\/informed-consent-assent-templates\">Informed Consent Templates page.<\/a>","button_links":null,"related_content":"","legacy_path":"assent-template","legacy_node_id":275,"legacy_related_nids":"","legacy_content_section":[{"legacy_section_type":"heading","legacy_heading":"Assent Template Instructions - Required Reading","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"This document provides detailed instructions for completing the template including required language, alternate text and information about sections that may be altered. These instructions are to guide and assist you in completing the Assent Template prior to being submitted to the <a class=\"gtip\" href=\"\/medschool\/glossary\/institutional-review-board-medical-school-irbmed\">IRBMED<\/a> for review. <a class=\"gtip\" href=\"\/medschool\/glossary\/investigator\">Investigators<\/a> are responsible for understanding and following all instructions.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"link_button","legacy_heading":"","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":1443,"legacy_media_url":"https:\/\/az.research.umich.edu\/sites\/default\/files\/media\/embedded\/Assent%20Template%20Instructions%20-%20Required%20Reading.docx","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":[{"legacy_button":{"title":"Assent Template Instructions - Required Reading","url":"https:\/\/az.research.umich.edu\/medschool\/wp-content\/uploads\/sites\/3\/2024\/12\/Assent-Template-Instructions-Required-Reading.docx","target":""},"legacy_import_link":true}]},{"legacy_section_type":"heading","legacy_heading":"Assent Template (Clean) (version 7-11-11)","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"This document is to be used to complete the Assent Template that is to be submitted to the IRBMED for review.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"link_button","legacy_heading":"","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"media-full","legacy_media_file":1444,"legacy_media_url":"https:\/\/az.research.umich.edu\/sites\/default\/files\/media\/embedded\/Assent%20Template%20%28Clean%29%20%28version%207-11-11%29_0_0.docx","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":[{"legacy_button":{"title":"Assent Template (Clean) (Version 7-11-11)","url":"https:\/\/az.research.umich.edu\/medschool\/wp-content\/uploads\/sites\/3\/2024\/12\/Assent-Template-Clean-version-7-11-11_0_0.docx","target":""},"legacy_import_link":true}]}],"update_notice_type":[98],"update_notice_start":"2026-01-28 13:00:00","update_notice_end":"2026-03-28 17:00:00","update_notice_text_blocks":[{"update_notice_text":"Consider using the <a href=\"https:\/\/hrpp.umich.edu\/informed-consent-builder-pilot\/\">Informed Consent Builder<\/a> tool, offered by the HRPP as a pilot in 2026, if you are developing a <strong>written assent for child participants<\/strong> or an <strong>Exempt consent<\/strong>. You can also submit questions or suggestions for expanding the pilot."}],"global_contact_block":false,"contact_name":"","contact_email":"","contact_additional_info":"Contact us at\u00a0<a href=\"mailto:irbmed@umich.edu\">irbmed@umich.edu<\/a>\u00a0or 734-763-4768 \/ (Fax 734-763-1234)\r\n2800 Plymouth Road, Ann Arbor, MI 48109-2800\r\n\r\n<p>A <a href=\"https:\/\/medresearch.umich.edu\/office-research\/about-office-research\/our-units\/institutional-review-boards-irbmed\/irbmed-contacts-roster#irbmed-staff\">list of IRBMED staff<\/a> is available at our website.<\/p>\r\n\r\nEdited By: <a href=\"mailto:larkspur@umich.edu\">larkspur@umich.edu<\/a>\r\nLast Updated: January 28, 2026 1:00 PM","global_contact_block_select":null},"_links":{"self":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/737","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document"}],"about":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/types\/document"}],"version-history":[{"count":3,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/737\/revisions"}],"predecessor-version":[{"id":1883,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/737\/revisions\/1883"}],"acf:term":[{"embeddable":true,"taxonomy":"update-type","href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/update-type\/98"}],"wp:attachment":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/media?parent=737"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/categories?post=737"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/tags?post=737"},{"taxonomy":"content-type","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/content-type?post=737"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/topic?post=737"},{"taxonomy":"update-type","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/update-type?post=737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}