UC Davis Alzheimer's Disease Center
Version 7/10/02
Template for Simplified Study Summaries
The simplified study summary is to be used to assist in assessing consent capacity and
obtaining informed consent decisions in persons with cognitive deficits. This is the
template for creating such a summary.
Study Name
This is a research study.
This study is voluntary. If you decide to take part in this study you
can stop at any time.
This is what happens in this study:
1. list each major procedure as simply as possible
2.
3.
The risks of this study are:
1.
2.
3.
The benefits of this study are:
1.
2.