ENGLISH Consent Form | Page 3

Research Consent and Authorization Helix Research Network( HRN)

OR REVIEW ONLY

Detailed Study Information
IRB APPROVED May 19, 2025
Introduction We are asking you to consider taking part in a research study. Before you decide, it is important for you to know why the research is being done and what it will involve. This consent form contains important information about this study and what to expect if you decide to participate.
You can decide to participate by signing and dating the end of this form. If you decide to participate, you will receive a copy of this form for future reference.
Why am I being asked to take part in a research study? You are being asked to participate in this study because you are a patient at Renown Health or a health partner in Northern Nevada that is working with Renown Health on Healthy Nevada Project study outcomes or you have learned about this study and are interested in participating. You must be at least 18 years old to participate.
Why is this research study being done? Generally, the purposes of this study are:
● To collect samples, like blood, saliva and cheek swabs, and health information from you in order to learn more about DNA and other biomarkers( your genetic information) and its connection to health. Your DNA provides instructions for things like eye or hair color, height, and sometimes affects your health. The study will look at the DNA of many different people and combine it with information from their health records. This combined information may support research to discover the underlying causes of disease, to help understand who is at risk, what steps can be taken to prevent disease, and what treatments may work best for patients.
● To learn more about health outcomes in Northern Nevada and to perform medical research in Nevada to improve health and healthcare in our state.
● To establish a research network, called the Helix Research Network, to help learn more about medical conditions and to improve human health through DNA research. A research network is a group of researchers, doctors, and institutions working together to share information and study human health.
● To return certain individual results about your DNA and other biomarkers to you, your health care providers, and researchers in order to better understand how your DNA might impact your health both now and in the future.
The Healthy Nevada Project seeks to enroll approximately one hundred thousand people in this study over time, and Helix seeks to enroll at least one million people across all U. S. research sites.
What happens during the study, how long will it last, and what am I being asked to do? If you decide to take part in the Healthy Nevada Project, the general procedures include:
● Collect a sample( saliva, blood or cheek swab) from you for DNA collection. You will either provide your sample at the laboratory or receive a saliva or cheek swab kit at home. The study staff will give you all the details.
● If you choose to visit the lab, plan for your appointment to take about 15 minutes. Please don’ t provide a blood sample within 30 days of a blood transfusion or receiving blood
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