For ease of participation, the surveys contain a click-through consent form that appears at the start of each survey.  Therefore, adults participating regarding their own usage of fluoroquinolones are not required to mail in a consent form.  However, if you would like to read, download, or print the consent form or related documents before or after a survey, please use the links below.

Reading and Reviewing Online

  1. These documents are designed for viewing in your web browser.

  2. Consent to Act as a Research Subject (Electronic)

  3. Experimental_Subjects_Bill_of_Rights

Printing and Mailing

  1. If you are and adult and feel more comfortable printing, signing, and mailing in a consent form, you may download and print these documents.  The documents are designed to print on paper.

  2. Adult Consent Form: Adult Consent to Act as a Research Subject.pdf

  3. Experimental Subject’s Bill of Rights: Experimental Subjects Bill of Rights English.pdf

  4. Address the forms to:

  5. UCSD Fluoroquinolone Effects Study
    9500 Gilman Dr. Dept. 0995
    La Jolla, CA 92093-0995

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Standard Participant Forms