Institutional Approvals and Patient Consent forms

Participating Country Studies
New Zealand

Patient Information Sheets

Information Sheet – General, New Zealand
Information Sheet – Parents, New Zealand
Information Sheet – Children, New Zealand

Patient Consent Forms

Consent Form – General 23.01.09
Consent Form – Parents 23.01.09
Consent Form – Children 23.01.09

Ethics Approval

Multi Region Ethics Committee Approval Extension to 2012
Multi Region Ethics Committee Approval
Multi Region Ethics Committee Approval (Akl, Chch and Wgtn)
Multi Region Ethics Committee Approval (NZ sites as of Feb 2010)
Multi Region Ethics Committee Approval (Open Ended Study)
HDEC Letter Post Approval
HDEC Letter Amendment May 2013
HDEC Letter Annual Progress Report
Albania

Tirana 

Ethics Committee Approval

 

Australia

Adelaide – Royal Adelaide Hospital

Participant Information
Consent Form
Ethics Committee Approval  

 

Brisbane – Mater Children’s Hospital

Ethics Committee Approval

 

Melbourne – Austin Health

Person Responsible Information and Consent Form
Participant Information and Consent Form Austin
Participant Information and Consent Form Guardian
Child Information and Assent Form

 

Melbourne – Royal Melbourne Hospital

Ethics Approval Letter
Ethics Approval Letter – Site Specific
Participant Information and Consent Form

 

Melbourne – St Vincent’s Hospital

Ethics Approval Letter
Participant Information and Consent Form

 

Western Sydney – Westmead Hospital

Ethics Approval Letter
Ethics Approval Amendment
Ethics Approval Amendment – October 2013
Participant Information and Consent Form – August 2013
Participant Information and Consent Form – Master, September 2013

 

Belgium

Brussels, Université Libre de Bruxelles-Hôpital Erasme

Information
Consentement 
Consentement Parents
Lettre comité d’éthique
Registre -Information Fr pour consentement par non opposition[1]
Résumé
Accord CE

 

Canada

London Ontario, London Health Sciences Centre 

Ethics Committee Approval

 

China

Central South University

Participant Information
Consent Form
Ethics Committee Approval

 

Peking University First Hospital 

Ethics Committee Approval

 

Colombia

Columbian Foundation Center for Epilepsy and Neurological Diseases (FIRE)

Ethics Committee Approval

 

France

Lyon – Hopital Neurologique, Bron Cedex

Ethics Committee Approval

 

Georgia

Tbilisi, Institute of Neurology and Neuropsychology

Ethics Committee Approval

 

Tblisi, M. Iashvili Central Children Hospital

Ethics Committee Approval

 

India

Mumbai – P. D. Hinduja National Hospital and MRC

Ethics Committee Approval

New Delhi

Ethics Committee Approval

 

Italy

Chieti – University of Chieti

Ethics Committee Approval

 

Genoa

Ethics Committee Approval

 

Monza – San Gerardo

Ethics Committee Approval

 

Perugia

Ethics Committee Approval 1
Ethics Committee Approval 2
Ethics Committee Approval 3

 

Reggio Calabria

Ethics Committee Approval 1 
Ethics Committee Approval 2

 

Rome – Policlinico Umberto I

Ethics Committee Approval

 

Korea

Patient Consent Forms

Consent Form – Adult
Consent Form – Child Aged 7-12 
Consent Form – Child Aged 13-19
Consent Form – Legal Representatives

 

Ethics Approval

Ethics Committee Approval (In English)
Ethics Committee Approval (In Korean)
Report of Institutional Review Board
Malaysia

Kuala Lumpur – University of Malaya Medical Centre 

Ethics Committee Approval

 

Nigeria

ESUT Teaching Hospital Parklane

Ethics Committee Approval

 

Pakistan

Patient Consent Forms

Consent Form – English
Consent Form – Urdu 1 
Consent Form – Urdu 2
Consent Form – Urdu 3

 

Ethics Approval

Ethics Committee Approval (Pakistan)
Portugal

National

Ethics Committee Approval

 

Serbia

University Clinical Centre Nis 

Ethics Committee Approval
Ethics Committee Approval – English
Consent Form – Under 18s
Consent Form – Over 18s

 

Spain

Vall d’Hebron Hospital

Ethics Committee Approval

 

Sri Lanka

University of Colombo

Ethics Committee Approval – Page 1
Ethics Committee Approval – Page 2

 

Sweden

Hallands Sjukhus Kungsbacka

Ethics Approval
Consent Form
Information

 

Turkey

Istanbul Faculty of Medicine 

Ethics Committee Approval

 

USA

New York – Montefiore Medical Center

EpiNet Committee Approval
EpiNet Authorization to Disclose 
Informed Consent Form

 

San Antonio – UT Health Science Center

Ethics Committee Approval
IRB Approval from UTHSCSA
Informed Consent Form
Approved Study Personnel