[For MMC/AECOM and/or JMC/HHC/UGMA Non-Private Industry Sponsored or Investigator- Sponsored Research Protocols (i.e. ECOG, NCI, NIH, and non funded research). Changes to this language require approval by legal counsel.]
If there is a physical injury as a result of this research, only immediate, essential, short-term medical treatment as determined by the participating hospital, will be available for the injury without charge to you personally.

• No monetary compensation will be offered.
• You are not waiving any of your legal rights by signing this informed consent document
• If additional treatment is required as a result of a physical injury related to the research, necessary medical treatment will be provided to you and billed to your insurance company or to you as part of your medical expenses.

Immediately report any discomforts, problems or injuries you experience during the course of your participation in the study to [Insert researcher’s name, time to call and phone number.]