[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-172604-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-172604-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","assent-form-assent-form-for-children-717-years-old","ASSENT FORM - Assent Form for Children 7–17 Years Old","","Assent Form for children aged 7–17 explains a research study in child-friendly language, including the study purpose, why the child is being asked to participate, and the voluntary nature of participation. It outlines study procedures, possible discomforts and side effects, and options to withdraw at any time. It also covers IRB submission considerations, limits on length and required sections, and age-specific language related to pregnancy restrictions for participants 13–17.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/assent-form-assent-form-for-children-717-years-old/172604/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/assent-form-assent-form-for-children-717-years-old/172604.png","ImageObject",442,249,{"name":42,"@type":43},"Asher","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-01",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is this assent form for and what age range does it cover?","Question",{"text":63,"@type":64},"It is for children 7–17 years old, or within a specified subset range for the study (such as 7–12 or 13–17).","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens if a child agrees to participate?",{"text":68,"@type":64},"The child will be asked to complete study procedures described in understandable terms, including details like visit frequency and timeframe. 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If the participant turns 18, the study continues collecting information until the next visit, when an adult consent form may be provided.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},172604,1788294958,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":80,"read_time":26},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","ASSENT FORM\nFor Children 7 – 17 years old [or within this range as specified for your study, e.g., 7-12, or 13-17]\nREMOVE ALL THE INSTRUCTIONS AND EXAMPLES BEFORE PRINTING\nAssent Forms should NOT include separate HIPAA language or a signature page.\nAssent Forms should be no longer than two pages.\nWhen submitting an Assent to IRB, make sure the document contains ALL newly added information provided as tracked AND provide a clean copy.\nNOTE: For research that is not greater than minimal risk (e.g., online survey), check first to see if it is exempt. If it is not exempt (i.e., only if the identity of the child could not be linked to the data and other protections are in place), you may submit alterations to some sections, or a waiver of all sections, of this Assent template language. You can only do this when you have requested to make a waiver/alteration to the Assent in your application. The waiver/alteration requirements must still be met as stated in the application (e.g., alteration does not affect rights).\nSTUDY: [add study title]\nA research study is like a science project at school and it is a way to learn new things. We are doing a study to find out more about [insert purpose of study in simple language]. [State what is experimental in simple terms: The [drug/device] is not approved by the government to be used for [condition], but doctors can still use it if they think it will help people]. We are asking you to be in the study because you have [state condition or simple inclusion]. You do not have to be in this study if you do not want. It is up to you. You can even say okay now and you can change your mind later. All you have to do is tell us. No one will be mad at you if you change your mind. You can still get help with your [condition] if you are not in the study.\nIf you agree to be in this study, you will be asked to [Describe procedures, (e.g., blood work, questionnaires, medication) in words a child would know and understand. Also include number of visits and time frame in words easily understood by a child]. For example: If you agree to be in this study, you will be asked to come to the study doctor’s office every week for four weeks. When you come in, you will have your blood drawn, and you will be given some questions to answer.].\n[Describe possible risks, e.g., discomforts and/or side effects in simple language. For example: When you have your blood drawn, it might hurt. You might also have a bruise. This would be like any time you have your blood drawn. When you are given the questions to answer, some of the questions might make you feel upset. You do not have to answer any question that you do not want to answer.].\n[For participants 13-17 years of age the following language must be included. If your study will only include children under the age of 13, then you can delete this section. If your study will include both children under 13 and 13 and up, then you may propose two assent forms, one with this section (13\nand up) and one without this section 12 and under.\nIf you are female and you are pregnant right now, you cannot be in this study. If you become pregnant, you will not be able to stay in the study. If you think you could be pregnant, please tell the study team that you do not want to be in this study. The study team is not allowed to tell your parents. You may be asked to have pregnancy tests for this study. If you are asked, then you have to have these tests in order to be in the study. The study doctor will talk to you and your parents about the results. If you do not want to have the tests, or you do not want the study doctor to talk to you and your parents about the test results, then you do not have to be in the study. If you are not okay with being in this study, then do not sign this form. If you sign this form, then you are saying that it is okay to do the pregnancy tests and to talk to you and your parents about the test results. You do not have to be in the study if you don’t want to. ]\nWe d","cbCaijfpspXoqpm3","https://ap.wps.com/l/cbCaijfpspXoqpm3","docx",676169,"English","# Study Information\n## Child-Friendly Study Description\n## Procedures and Time Frame\n## Risks and Comfort\n# Participation Guidance\n## Voluntary Decision and Withdrawal\n## Age-Specific Requirements (13–17)\n# Study Administration\n## IRB Submission Notes\n## Required Sign-off Sections","[{\"question\":\"Who is this assent form for and what age range does it cover?\",\"answer\":\"It is for children 7–17 years old, or within a specified subset range for the study (such as 7–12 or 13–17).\"},{\"question\":\"What happens if a child agrees to participate?\",\"answer\":\"The child will be asked to complete study procedures described in understandable terms, including details like visit frequency and timeframe. The child can also choose not to answer any questions that feel upsetting.\"},{\"question\":\"Can a participant stop being in the study, and what if they turn 18 during the study?\",\"answer\":\"Participation is voluntary and the child can stop at any time. If the participant turns 18, the study continues collecting information until the next visit, when an adult consent form may be provided.\"}]","ASSENT FORM - Assent Form for Children 7–17 Years Old | DOCX"]