Voluntary Consent : You certify that you have read the preceding or it has been 
read to you and that you understand its contents. Any questions you have 
pertaining to the research have been answered by the staff or will be answered 
by Drs . Michael Lotze, Joshua Rubin or Howard Edington. Any questions concerning 
your rights as a research subject will be answered by the Office of the Senior 
Vice President, Health Sciences. A copy of this consent form will be given to 
you. Your signature below means that you have freely agreed to participate in 
this project. 
Patient/Subject Signture 
Date 
You certify that I have explained to the above individual the nature and purpose, 
potential benefits and possible risks associated with participating in this 
program, have answered any questions that have been raised, and have witnessed 
the above signature. 
Investigator's Signature 
Date 
/P6 
Patient's Initials 
[862] 
Recombinant DNA Research, Volume 14 
