INFORMED CONSENT DOCUMENT 1 (To Be on Headed Paper)

Centre No: RMH

Study Protocol Number: 2598

Ethics Protocol Number: 05/MRE07/25

Patient Identification Number for this trial:

Title of Project: Identification of Men with a genetic predisposition to ProstAte Cancer: Targeted screening in men at higher genetic risk and controls.

Name of Principal Investigator: Professor Ros Eeles

Please Initial Box

1.  I confirm that I have read and understand the information sheet dated 12.11.2010 (version 1) for the above study and that I have had an opportunity to ask questions.

2.  I am willing to continue participating in the above study

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Name of Patient Date Signature

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Name of Person obtaining consent Date Signature

(if different from Principal Investigator)

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Principal Investigator Date Signature

1 copy for Patient, 1 for Principal Investigator, 1 for Hospital Notes

5 year consent Version 2: 03.10.2012