Research Consent and Authorization Helix Research Network( HRN)
OR REVIEW ONLY
IRB APPROVED May 19, 2025
after clinical testing is complete. Providing additional samples is optional. These samples will be used for research and in cases where a medical test is ordered these results will be returned to your medical record and to your healthcare provider.
○ If you agree to provide a blood sample, it may be collected during an already scheduled blood draw or you may be asked to give a sample separate from a scheduled draw( not more than two teaspoons at one time)
● Store your samples, health and genetic information in a research database at Renown Health for future research studies. The research database may include information that could directly identify you. Renown Health will control access to this database and only give access to approved researchers who work with Renown Health.
● Store your samples, health, and genetic information in a shared research database at Helix, the Helix Research Network database, and biobank and use this information for future research studies. This database will include information from Helix, Renown Health and the other health systems and institutions that are part of the research network. Your genetic and medical record information will be added to the Helix Research Network database, but will not include information that can directly identify you, such as your name.
○ Researchers that conduct future research using your samples, health and genetic information may work at many different types of institutions or companies. This may include:
■ Renown Health and its affiliates, providers, collaborators, and partners
■ Helix and its collaborators and partners
■ Other healthcare institutions participating in the Helix Research Network
■ Health systems, universities, medical schools, or other research facilities
■ Government agencies like the National Institutes of Health( NIH)
■ Public agencies, foundations or other groups that conduct or sponsor research
■ Companies that do medical research, like companies that develop medications or medical devices
■ Other types of healthcare, technology or research companies
■ Individuals and entities with access to public research databases into which the research data is placed
● Contact you in the future by Renown Health electronic portal, in-person, by phone, email, mail, and / or other means of communication used by Renown Health to get more information or tell you about other research studies. If you sign up for the optional Helix Account( explained in more detail below), you are also agreeing to let Helix re-contact you directly through your account. Helix may re-contact you for requests that may not be specific to Renown Health. For example, Helix may reach out to you about other research opportunities, including research studies matched to your personal genetic information. These requests and research opportunities are always voluntary. Any time you are re-contacted, you may choose not to participate, and it will not affect your overall participation in this study.
● Contact you for a new sample if the first sample you provide doesn’ t allow us to successfully sequence your DNA. Usually, this happens because of a quality issue with your first sample. Renown Health will reach out to you to collect another sample if one is needed. In some cases, you might also be contacted directly by Helix for another sample.
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