***I'm a veteran. Should I participate in research?***

The Center on Advice and Compliance Help (COACH) offers free materials
to help assure that veterans receive adequate information when
considering participation in VA research.

+-----------------------------+----------------------------------------+
| > **Brochure**              | +-----------------------------------+  |
| >                           | | ** **                             |  |
| > This 7 x 8½ brochure      | |                                   |  |
| > provides                  | | **I would like to receive:**      |  |
| >                           | |                                   |  |
| > veterans with a balanced  | | Brochures       (Quantity)        |  |
| > view of VA research and   | |                                   |  |
| > summarizes veterans'      | | DVD (English) VHS (English) VHS   |  |
| > rights and welfare if     | | (Spanish)                         |  |
| > they decide to            | |                                   |  |
| > participate as subjects.  | | Posters (size 11 x 17)            |  |
| > Place these brochures in  | | (English)       (Spanish)         |  |
| > patient waiting areas or  | |                                   |  |
| > encourage veterans        | | Posters (size 8 ½ x 11)           |  |
| > considering participation | | (English)       (Spanish)         |  |
| > in research to take a     | +-----------------------------------+  |
| > copy home.                | | Name:                             |  |
| >                           | |                                   |  |
| > **Video**                 | |                                   |  |
| >                           | +-----------------------------------+  |
| > This eight-minute video   | | VAMC Name:                        |  |
| > is a                      | |                                   |  |
| >                           | |                                   |  |
| > companion to the          | +-----------------------------------+  |
| > brochure.                 | | Physical Address:                 |  |
| >                           | |                                   |  |
| > Available in VHS (English | |                                   |  |
| > and Spanish) and DVD      | +-----------------------------------+  |
| > (English), VA facilities  | |                                   |  |
| > may reproduce as needed.  | |                                   |  |
| >                           | |                                   |  |
| > **Poster**                | +-----------------------------------+  |
| >                           | | City:                             |  |
| > Designed for patient      | |                                   |  |
| > waiting areas and         | |                                   |  |
| > examination rooms, this   | +-----------------------------------+  |
| > poster contains several   | | State and Zip:                    |  |
| > questions veterans may    | |                                   |  |
| > want to ask before        | |                                   |  |
| > agreeing to take part in  | +-----------------------------------+  |
| > research. Posters are     | | Phone:                            |  |
| > available in English and  | |                                   |  |
| > Spanish, (8½ x 11 or 11 x | |                                   |  |
| > 17).                      | +-----------------------------------+  |
+-----------------------------+----------------------------------------+
|                             | +-----------------------------------+  |
|                             | | **To request any of these         |  |
|                             | | materials, fax or email this      |  |
|                             | | order form to:**                  |  |
|                             | |                                   |  |
|                             | | COACH\                            |  |
|                             | | Attn: Ann Adams\                  |  |
|                             | | Fax (501) 257-1749                |  |
|                             | |                                   |  |
|                             | | Tel (501) 257-1699\               |  |
|                             | | Email: <Martha.Adams@med.va.gov>  |  |
|                             | +-----------------------------------+  |
|                             | | ![]                               |  |
|                             | | (media/image1.jpeg){width="4.0in" |  |
|                             | | height="0.6201388888888889in"}    |  |
|                             | +-----------------------------------+  |
|                             | | **w                               |  |
|                             | | ww.va.gov/resdev/programs/PRIDE** |  |
|                             | +-----------------------------------+  |
+-----------------------------+----------------------------------------+