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DESCRIPTION:
You are invited to participate in
a research study
on the experiences of lymphedema patients in the health care arena.
Do you have lymphedema? – if so, you will be asked to complete a simple questionnaire.
Participation in this research is voluntary, and you are free to withdraw your consent at any time.
TIME INVOLVEMENT:
Your participation will take approximately 3 minutes.
PAYMENTS:
You will not receive payment for your participation.
PRIVACY AND CONFIDENTIALITY:
Your individual privacy will be maintained during the research and in all published and written data resulting from the study. The study is entirely anonymous; no identifying data will be collected or maintained.
CONTACT INFORMATION:
Questions:
If you have any questions, concerns or complaints about this research, its procedures, risks and benefits, contact the Protocol Director, Dr. Stanley G. Rockson (650) 725-7571
Independent Contact:
If you are not satisfied with how this study is being conducted, or if you have any concerns, complaints, or general questions about the research or your rights as a participant, please contact the Stanford Institutional Review Board (IRB) to speak to someone independent of the research team at (650)-723-2480 or toll free at 1-866-680-2906
. You can also write to the Stanford IRB, Stanford University, 1705 El Camino Real, Palo Alto, CA 94306.
Please save or print a copy of this page for your records
.
If you agree to participate in this research, please
complete the attached questionnaire.
Do you have lymphedema?
Yes
No
Are you a cancer survivor?
Yes
No
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