Study of the Biology and Natural History of Disease Outcomes in Patients Treated With Allogeneic Hematopoietic Stem Cell Transplantation for Hematologic Malignancies
Conditions: Chronic Myelogenous Leukemia, Acute Myelogenous Leukemia, Acute Lymphoblastic Leukemia, Hodgkins Lymphoma, Non-Hodgkins Lymphoma
Sponsor: National Cancer Institute (NCI)

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© American Society of Clinical Oncology 2008.  All rights reserved
Informed consent is an ongoing communication process.  Consent forms, including this template, are in no way intended to replace or 
limit, in whole or in part, the thorough exchange of information between physicians and patients, and should not be used in this 
manner.  Though the consent template reflects basic informed consent requirements, no single consent form could be appropriate for 
all patients.  It is the responsibility of the treating physician or other health care provider to tailor the consent process to meet 
individual patient’s needs. Because the consent form can include confidential information about a patient’s medical record and 
treatment regimen, it should be used or disclosed only in accordance with federal and state privacy laws.  Laws governing informed 
consent vary from state to state and may change over time.  Before using the template, health care providers are advised to consult 
legal counsel to determine whether all required elements of informed consent are addressed. Use of this consent template is entirely 
voluntary and does not imply ASCO’s endorsement of any physician practice, treatment regimen, or product.  ASCO assumes no 
responsibility for any injury or damage to persons or property arising out of or related any use of this Template, any changes made to 
this Template by the user, or any errors or omissions. 
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