Informed Consent Form Templates

Centres should download and fill in the Patient Consent Form in the appropriate language for each of their patients, as the law requires that the patient consents to the data being transferred to the EBMT. 

EBMT shall provide the Informed Consent Form to the participating sites to be used for data reporting to EBMT. The reporting centre shall be responsible for ensuring that the Informed Consent Form is in compliance with applicable laws and meets the minimum requirements as indicated by the Informed Consent templates on this web page. No centre is exempt from obtaining patient consent before submitting data to the EBMT.

NOTE: The informed consent forms provided below are made up of 2 parts: the patient information leaflet and the Informed Consent Sheet with the tick boxes for patient consent. Centres are free to divide the document into two parts, if so desired, to facilitate patient comprehension of the document.