Complete Type1 Screen Consent and Registration Online Form | Scribe

    Complete Type1 Screen Consent and Registration Online Form

    • Kelly McGorm |
    • 22 steps |
    • 3 minutes
    1
    Navigate to [https://type1screen.org/](https://type1screen.org/)
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    Click "Click here to register online"
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    Click the consent form (top for an adult, bottom if for a child under 18), download it and read it.
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    Click "Yes. I have read the consent form. I understand the information provided and have taken the time needed to consider it. My questions about the T..."
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    Enter your email address to receive a copy of your consent form
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    Click "Submit"
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    Enter the full name of the person being screened
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    Click on the family member who has type 1 diabetes
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    Enter the age of the person being screened
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    If the person being screened is a child, enter the name of the person providing consent on their behalf.
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    Click "I confirm I am the child's parent or legal guardian"
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    Click "Add signature"
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    Sign as best you can
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    Remember to save your signature
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    Click "I certify that all of my information in the document above is correct. I understand that clicking 'Submit' will electronically sign the form and that signing this form electronically is the equivalent of signing a physical document." field.
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    Click "Submit"
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    Enter the best contact details to receive your test kit and / or test results
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    Enter the date of birth for the person being screened
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    Select the correct gender of the person being screened
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    Tell us if there is any other information we need to know