Jain Foundation Communication Consent Form

Jain Foundation Communication Consent Form

Home ❯ Jain Foundation Communication Consent Form


  • In the event that we need to communicate with individuals outside our organization to share or discuss information pertaining to your muscular dystrophy, to logistics for a research study, or to any other matters that are similar or related to the foregoing (collectively, “Permitted Discussion Topics”), we request that you give both the Jain Foundation and such individuals permission by completing and signing this Communication Consent Form. Thank you
  • MM slash DD slash YYYY
  • First Individual

  • Second Individual

  • Third Individual

  • If you would like a copy of this completed form sent to you, please provide your email in the email field below.