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What is a best practice for optional items in a consent form?

There are best practices for adding optional items in a consent form.  Do you have any optional items in your consent form? Perhaps you have a series of blanks that allows participants to opt in or out of an additional data or specimen collection process with their initials. If you have a consent form with additional space blanks where the participant marks YES or NO, there should be a spot for them to initial their choice. It is critical that the participant completes these sections if they exist. Any blank optional items in a consent form must be treated as a “No” or an “opt out” from the participant.