Att3_ASARCO EI_Permission Assent Consent Forms_Oct23_2014

Att3_ASARCO EI_Permission Assent Consent Forms_Oct23_2014.docx

ATSDR Exposure Investigations (EIs)

Att3_ASARCO EI_Permission Assent Consent Forms_Oct23_2014

OMB: 0923-0048

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Attachment 3

ASARCO Smelter EI Parental Permission/Assent/Consent/ Forms

ASARCO Smelter EI



Attachment 3A: Parental Permission Form for Blood Lead Testing and Questionnaire: Children aged 9 to <72 Months


Attachment 3B: Parental Permission Form for Blood Lead and Urine Arsenic Testing and Questionnaire: Children and Youth aged 6 to <18 Years


Attachment 3C: Assent Form for Blood Lead and Urine Arsenic Testing and Questionnaire: Children and Youth aged 7 to <18 Years


Attachment 3D: Consent Form for Blood Lead and Urine Arsenic Testing and Questionnaire: Pregnant Women and Women of Child Bearing Age aged 15 to <45 Years





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLourdes Rosales-Guevara
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File Created2021-01-28

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