Authorization 
I have read the explanation about this study and have been given the 
opportunity to discuss it and to ask questions. My signature indicates that I 
consent to take part in this study and that I have received a copy of the 
consent form. 
Signature of Patient 
Date 
Signature of Witness 
Date 
Signature of Physician 
Date 
[746] 
Recombinant DNA Research, Volume 18 
