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16 and Over Consent

Please read the following statements and check each box. Statements marked with an asterisk (*) require to be checked:

I understand that I do not have to take part in the research and I am free to withdraw at any time without giving any reason, and without my medical or legal rights being affected.

The procedures regarding confidentiality have been clearly explained (e.g. use of names, pseudonyms, anonymisation of data, etc.) to me.
I consent to members of the research team obtaining routinely collected health data including from my medical notes
*I confirm that I can be contacted in the future by a member of the BRIDGE Project Team to discuss possible participation in further research arising from this study. I understand that this will not commit me in any way to taking part in further research.