I understand that if I am (my child/ward is) injured as a direct result of these research 
procedures I (my child/ward) will receive medical treatment for those injuries at no cost. The 
University of California does not provide any other form of compensation for injury. 
I understand that Joseph Rosenblatt, M.D., who can be reached at (310) 825-02745, or 
or Robert C. Seeger, M.D., who can be reached at 
(213) 669-5618 will answer any questions I may have at any time concerning the details of the 
procedures performed as a part of this study. 
I understand that if I (my child/ward) have further questions, comments or concerns about this 
study and or informed consent process, I may write or call the office of the Vice Chancellor of 
Research Programs, 2138 Murphy Hall, UCLA, Los Angeles, California 90024-1405, 
(310) 825-8714. 
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