Consent Form

This research is being conducted by Sharon Turnbow, a senior psychology major at Hanover College. This study seeks to better understand how financial factors (related to Medicaid and insurance) have impacted the care and treatment of children with Autism Spectrum Disorder from the parents’ perspective. You will be filling out a survey as well as demographics form.

This information will be used in a senior research project that will start in January of 2012. The survey you will be filling out seeks to understand how financial factors have impacted the care and treatment of children with Autism Spectrum Disorders.

The entire survey and demographics will take no longer than 15 minutes. There are no known risks involved in being in this study, beyond those of everyday life. The information you provide during the survey is completely anonymous and at no time will your name be associated with the responses you give.

If you have any questions or concerns now or after the study, please contact:

For questions about the research itself, you may contact the researcher: Sharon Turnbow at turnbows12@hanover.edu.

For questions about your rights as a participant in this research, you may contact the faulty member supervising the research Dr. Stephen Dine Young, a member of the Hanover Psychology Department as well as a licensed clinical Psychologist (youngst@hanover.edu, (812) 866-7319). You may also contact the chair of Hanover College’s Institutional Review Board, Dr. Bill Altermatt, at altermattw@hanover.edu.

Participation in this survey is voluntary. Refusing to participate or ceasing to participate at any time will involve no penalty.

By clicking here I agree to participate in this study