Participant Consent Forms
To give us permission to use the information that you provide us for research purposes, please read and print the appropriate consent form.
Filling out the form
Complete page 8 (and 9 if applicable) and either scan or take a clear photo of your signed form.
Send the consent form by email to contact@cart-wheel.org.
Alternatively, if you prefer, post your Consent Form to:
CART-WHEEL BioGrid Australia
PO Box 2138
Royal Melbourne Hospital VIC 3050 Australia
If you are unable to print the form please send us an email including your mailing address and who you are consenting for (yourself or others) and we will send the appropriate form to you by mail.
You will receive an email confirming receipt of your document.
Please note, CART-WHEEL uses the word 'tumor' to refer to cancer of any part of the body, including blood and lymph glands.
Individual Consent
Consent on behalf of...
I am consenting for my relative/friend
If you are next of kin for a participant who is alive and older than 16 years of age.
I am consenting for my deceased relative/friend
If you are next of kin for a participant who was older than 16 years of age when deceased.
