INDIANA UNIVERSITY STUDY INFORMATION SHEET

You are invited to participate in a research study of autoimmune hepatitis. We ask that you read this form before agreeing to participate in the study.

The study is being conducted by Craig Lammert, MD at Indiana University.

STUDY PURPOSE:
The purpose of this study is to determine the frequency and spectrum of treatments in autoimmune hepatitis.

PROCEDURES FOR THE STUDY:
If you agree to be in the study, you will do the following things:

You will complete a series of questions about your history of autoimmune hepatitis and treatment. You will also be asked a few questions about your demographics. The study will take approximately 5 minutes to complete.

CONFIDENTIALITY
Efforts will be made to keep your personal information confidential. Only the researchers conducting this study will have access to your responses. Therefore, your responses will remain anonymous.

CONTACTS FOR QUESTIONS OR PROBLEMS
For questions about the study, contact the researcher Craig Lammert, MD at autoimmunehep@gmail.com.

For questions about your rights as a research participant or to discuss problems, complaints or concerns about a research study, or to obtain information, or offer input, contact the IU Human Subjects Office at (317) 278-3458.

VOLUNTARY NATURE OF STUDY
Taking part in this study is voluntary. You may choose not to take part or may leave the study at any time.


If you are 18 years of age or older and agree to participate in the survey, please click the button below to continue.

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