Informed Consent Form Template – UK

4.66 / 5 (112 Ratings)

Updated: 2026


Guidance Notice

The information provided here serves as a general example of a legal consent document specific to medical procedures within the United Kingdom. It does not offer legal advice and should not replace consultation with a qualified legal professional experienced in healthcare law. Local laws and regulations may vary, and adjustments might be necessary to ensure adherence. The use of this sample is at the user’s own risk, and no liability is accepted for errors, omissions, or consequences arising from its use without proper legal review.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Informed Consent Form UK template, provided for general guidance purposes. Actual forms should be tailored to specific circumstances and comply with applicable legal standards.

Informed Consent Form (UK) Sample

Participant Details and Purpose of Consent:

Name of Participant: _______________________________
Date of Birth: _______________________________
Address: __________________________________________

Purpose of this consent: To confirm understanding and agreement regarding the procedures, risks, and confidentiality involved in the study or procedure.

Procedures and Risks:

I acknowledge that I have been informed about the nature of the procedures, potential risks, and benefits involved. I understand that participation is voluntary and that I can withdraw at any time without penalty.

Confidentiality and Data:

I understand that my personal data will be handled in accordance with UK data protection laws and that my identity will remain confidential unless disclosure is required by law.

Voluntary Consent:

By signing below, I confirm that I have read and understood all information provided, and I voluntarily agree to participate in the procedures described.

Signature of Participant: _______________________________

Date: _______________________________

Name of Person Obtaining Consent: _______________________________

Role/Position: _______________________________

Signature: _______________________________

Date: _______________________________