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DClinPsy Portfolio Volume 1 of 3 - University of Hertfordshire ...

DClinPsy Portfolio Volume 1 of 3 - University of Hertfordshire ...

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U H<br />

CONSENT FORM<br />

Title <strong>of</strong> Project: Body Image Disordered Eating And Emotional Processing In<br />

Adolescent Females.<br />

Researcher: Helen Eracleous, Trainee Clinical Psychologist<br />

1) I confirm that I have read and understand the information<br />

sheet for the above study. I have had the opportunity to<br />

consider the information and if needed ask questions that<br />

were satisfactorily answered.<br />

2) I understand that participation is voluntary and that the<br />

students are free to withdraw at any time, without giving any<br />

reason, without healthcare or legal rights being affected.<br />

3) I agree for my daughter to take part in the above study<br />

Please initial box<br />

…………………………………. …………….. ………………………………<br />

Name <strong>of</strong> parent <strong>of</strong> participant Date Signature<br />

…………………………………. …………….. ………………………………<br />

Name <strong>of</strong> person taking Date Signature<br />

consent (if different from<br />

researcher)<br />

…………………………………. …………….. ………………………………<br />

Name <strong>of</strong> researcher Date Signature<br />

p. 1 <strong>of</strong> 1<br />

249

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