Research Consent and Authorization Helix Research Network( HRN)
OR REVIEW ONLY
IRB APPROVED May 19, 2025
the study. If you ask us to delete your genetic information, you and your healthcare providers will not be able to use it for future clinical DNA tests.
As part of this study, some of your information has been stripped of direct identifiers, meaning the information is no longer linked to you directly. Any of your information that has already been stripped of direct identifiers and shared with researchers cannot be withdrawn or deleted because the researchers have no way to know that it is your data. That means that your genetic and health information, without any direct identifiers, will continue to be used by the researchers and may be used for future research.
You may be taken off the research study for any reason including:
● If the sample( s) you provide are not able to be successfully analyzed
● It is considered to be in your best interest
● A decision is made to end the study
● Other unforeseen reasons that make it necessary to stop your participation in the research study
What happens if I become sick or injured because I took part in the study? If you think you may have been injured due to your participation in this study, you should tell the Principal Investigator about it as soon as possible.
Your healthcare provider will offer you the care needed to treat injuries directly resulting from taking part in research. These treatments will be billed to you or your insurance company. You will be billed for any payments from this treatment, including co-pays or deductibles. You should check with your insurance to see what services will be covered and what you will be responsible for paying.
There are no plans to give you compensation for any injuries.
Helix, the sponsor of this study, has not set aside any money to pay for research-related injuries or treatments. You do not give up any of your legal rights by signing this form.
Who can answer questions I have about the study? If you have questions about the study, concerns, or complaints, to offer input or to report a research-related injury or harm, you should contact the Principal Investigator or study staff as listed below:
Renown Health Joseph J Grzymski, PhD Joseph. grzymski @ renown. org
Renown Health Healthy Nevada Project Study team renownIHI @ renown. org
If you have questions regarding your Helix account, you may contact Support @ helix. com or by calling toll-free at 1-844-211-2070.
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