Clinical trial: NCT03622437
Section: Voluntary Participation
Subsections: Informed Consent For Participation In A Health Science Research Project.

The research project title: "Individualized follow-up after rectal cancer - focus on the needs of the patients" _____________________________________________________________ ______________________________________________________________ Declaration from participant in the survey: I have received written and oral information and I have sufficient knowledge about the purpose, method, advantages and disadvantages in order to accept participation. I am aware that it is voluntary to participate and that I at any time can withdraw my consent without compromising the rights to any current or future treatment. I agree to participate in the research study and have received a copy of this consent sheet as well as a copy of the written information on the study for my own use. Name of the participant: Date and signature: _______________________________ Do you want to be informed about the results of the study and any consequences for you?: Yes _____ (set x) No _____ (set x) Declaration from the person providing information: I declare that the participant has received oral and written information about the study. In my belief, sufficient information has been provided for a decision to participate in the investigation. The name of the person who provided information: Date and signature: _______________________________ Project Identification: FURCA 06.01.2016