Adolescent Consent Form


Please read this carefully, tick the box and complete the form:
• I understand that the treatment targets perfectionism and stress management and there is a chance that I may not benefit from this treatment.
• I understand that I will be randomly allocated to one of the three groups: an online perfectionism program, a stress management program or a waitlist group where I will undergo either of the programs 12 months later. I understand that this allocation is random.
• I agree not to pursue alternate psychological therapy until I have finished the program and up to 12 months after the program.
• If I am taking antidepressant medications, I agree that I have been stable on my medication for the past 3 months. I also agree to not change/alter my medication and dosage until I finish the study.
• In the event that I do require alternate treatment or medication, I agree to inform the researcher.
• I understand that my personal information will be kept completely confidential and if the research was to be published, I will not be able to be identified.
• I understand that my data will be retained for 5 years in a locked cabinet at Curtin University.
• I understand that I am able to withdraw from the study at any stage without having to give a reason, and that by withdrawing I will be required to stop the program and I may be referred elsewhere for treatment.


 I, ………………………………………., have fully read the information sheet and give my assent to be part of the study.
Date ……./……./…….
Contact number …………………………………………
Email …………………………………………

My parent's contact details are:

Name

Contact number

Email

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