Research Consent Form (Philippines)
INFORMED CONSENT FORM FOR RESEARCH PARTICIPATION
Study Title: [Study Title]
Principal Investigator: [Principal Investigator]
Contact: [Investigator Contact]
Ethics Review Board: [ERB Name]
ERB Approval No.: [ERB Approval Number]
Sponsor: [Study Sponsor]
Date: [Consent Date]
PARTICIPANT INFORMATION
Name: [Participant Name]
Date of Birth: [Participant DOB]
Address: [Participant Address]
Parent / Guardian (if minor): [Guardian Name]
INTRODUCTION
You are being invited to participate in a research study. Please read this Informed Consent Form carefully. If you do not understand any part, please ask the researcher before signing. Your participation is voluntary. You may refuse to participate or withdraw at any time without penalty.
1. PURPOSE OF THE STUDY
[Study Purpose]
2. STUDY PROCEDURES
[Procedures]
Total duration of your participation: [Study Duration]
3. RISKS AND DISCOMFORTS
[Risks Discomforts]
4. ANTICIPATED BENEFITS
[Benefits]
5. COMPENSATION
[Compensation]
6. CONFIDENTIALITY AND DATA PRIVACY
Your personal information collected in this study constitutes sensitive personal information under Section 3(l) of the Data Privacy Act of 2012 (Republic Act No. 10173). By consenting, you authorize [Principal Investigator] and the research team to collect, process, and store your personal data for the purposes stated in this form.
Data Protection Officer: [Data Privacy Officer]
Retention period: [Data Retention Period]
Access to your data: [Data Sharing]
You have the right to access, correct, and request erasure of your data under Sections 16-18 of RA 10173. To exercise these rights, contact the DPO listed above or the NPC at [email protected].
7. VOLUNTARY PARTICIPATION AND RIGHT TO WITHDRAW
Your participation in this study is entirely voluntary. You may refuse to participate or withdraw at any time without penalty, loss of benefits to which you are otherwise entitled, or adverse consequences. If you withdraw, data collected from you prior to withdrawal will be retained in anonymized form unless you request otherwise.
For questions about this study, contact: [Investigator Contact]
For independent ethics concerns, contact: [ERB Name]
For data privacy concerns, contact the NPC at [email protected] or (02) 8234-2228.
DECLARATION OF CONSENT
I, [Participant Name], declare that:
(a) I have read this Informed Consent Form, or it has been read to me in a language I understand.
(b) The researcher has explained the study, its purpose, procedures, risks, benefits, and my rights.
(c) I have had the opportunity to ask questions and all my questions have been answered to my satisfaction.
(d) I understand that my participation is voluntary and I may withdraw at any time without penalty.
(e) I consent to the collection and processing of my personal and sensitive personal information as described above, in accordance with the Data Privacy Act of 2012 (RA 10173).
(f) I freely and voluntarily agree to participate in this research study.
[Participant Name]
Participant
Date: [Consent Date]
IF SIGNED BY PARENT / GUARDIAN: [Guardian Name]
Relationship to Participant: ___________________________
RESEARCHER'S CERTIFICATION
I, [Principal Investigator], certify that I have personally explained this Informed Consent Form to the participant or their authorized representative in a language they understand, answered all questions, and that consent was given voluntarily.
[Principal Investigator]
Principal Investigator
Date: [Consent Date]
Participant (or Parent / Guardian)
________________
Signature
Principal Investigator
________________
Signature
Witness
________________
Signature
What Is a Research Consent Form (Philippines)?
A Research Consent Form in the Philippines evidences that consent has been freely given, identifying exactly what has been agreed to and by whom.
The Philippine research consent framework aligns with internationally recognized instruments: the Declaration of Helsinki (World Medical Association, as amended in Fortaleza 2013), the Belmont Report (1979), and the CIOMS International Ethical Guidelines for Health-Related Research Involving Humans (2016). Under PHREB NEG 2017 Section 5 (Informed Consent), no research involving human participants may proceed unless the researcher has obtained valid, documented informed consent or — where applicable — a waiver of consent duly approved by an accredited Institutional Review Board (IRB) or Ethics Review Committee (ERC).
Philippine IRBs and ERCs accredited by PHREB include those at the University of the Philippines Manila Research Ethics Board (UPMREB), the De La Salle Health Sciences Institute Research Ethics Committee (DLSHSI-REC), the Ateneo School of Medicine and Public Health Research Institutional Ethics Committee (AMSPH-RIEC), and research ethics boards at St. Luke's Medical Center, Makati Medical Center, the Philippine Heart Center, and the Philippine General Hospital (PGH). For non-health research in the social sciences, CHED Memorandum Order No. 53-2016 (Research Ethics Manual for Higher Education Institutions) supplements PHREB guidelines.
The PHREB NEG 2017 requires the ICF to be written in Filipino or English at a reading level comprehensible to the participant, with verbal explanation before signing. A witness must sign the ICF where the participant cannot read, and a copy must be given to the participant. For studies involving minors (below 18 years), parent or legal guardian consent is required plus the minor's assent if 7 years or older, per PHREB NEG 2017 Section 11 and the Family Code (EO 209).
The NPC under RA 10173 requires research institutions processing personal data to maintain data protection policies, appoint a Data Protection Officer (DPO) registered with the NPC if processing sensitive personal information or data of 250 or more data subjects, and implement organizational, physical, and technical security measures under NPC Circular 16-01. Research institutions conducting clinical trials must also comply with the Philippine FDA's Good Clinical Practice (GCP) requirements under RA 9711 (FDA Act of 2009) and FDA Circular No. 2013-016. The Research Consent Form serves as documentary proof of participants' informed and voluntary consent to both research procedures and personal data processing, creating a complete audit trail for PHREB accreditation review, NPC compliance verification, and Philippine FDA inspection. Forms-legal.com provides this Research Consent Form (Philippines) template as a starting point aligned with PHREB NEG 2017 and RA 10173 requirements.
When Do You Need a Research Consent Form (Philippines)?
A Research Consent Form in the Philippines is required whenever an individual or institution conducts any research involving human participants, as defined broadly by PHREB NEG 2017 to include systematic investigations — experimental or observational — designed to develop or contribute to generalizable knowledge.
Clinical trials: Sponsor-investigators conducting clinical trials of investigational drugs, biologics, or medical devices subject to Philippine FDA regulations under RA 9711 must obtain FDA-reviewed written informed consent using an ICF template before any study-related procedures — a mandatory GCP requirement under FDA Circular No. 2013-016 and ICH E6 R2 guidelines adopted by the Philippine FDA.
Public health and epidemiological studies: Observational studies and surveys funded by DOST, DOH, PhilHealth under RA 11223, WHO, NIH, or USAID require PHREB-accredited ERC approval and individual participant consent before data collection.
Indigenous peoples research: Community-based participatory research in ancestral domain areas involving indigenous cultural communities requires both Free, Prior and Informed Consent (FPIC) under RA 8371 (Indigenous Peoples Rights Act of 1997) administered by the National Commission on Indigenous Peoples (NCIP) and individual participant ICFs.
Academic theses and dissertations: Graduate and undergraduate researchers at CHED-supervised higher education institutions collecting primary data from human respondents — whether through surveys, interviews, focus groups, or observations — must obtain ethics review from their institution's ERC and obtain participant consent forms before data collection, per CHED Memorandum Order No. 53-2016.
Vulnerable populations: Research involving pregnant women, prisoners, persons with mental illness, economically disadvantaged individuals, OFWs, and other vulnerable groups requires enhanced consent protections and additional PHREB safeguards under NEG 2017 Chapter 10 — including independent consent monitoring and additional IRB oversight.
Biometric and health data collection: Any research collecting biological specimens (blood, urine, tissue, genetic material), accessing identifiable health records, or processing biometric identifiers requires explicit consent under Section 13 of RA 10173 for sensitive personal information, and compliance with PHREB NEG 2017 Section 8 on biological specimens and genetic data. The Philippine FDA's Center for Drug Regulation and Research (CDRR) and Center for Device Regulation, Radiation Health and Research (CDRRHR) also review ICFs for clinical trials involving investigational drugs and medical devices under RA 9711 before study initiation.
What to Include in Your Research Consent Form (Philippines)
A Philippine Research Consent Form compliant with PHREB NEG 2017 and RA 10173 must contain the following elements to constitute legally and ethically valid informed consent.
Study Information Header: Full title of the research study, name and contact details of the principal investigator and co-investigators, name and PHREB accreditation number of the IRB or ERC that reviewed and approved the study, study sponsor, and the ethics review approval or reference number.
Purpose and Background: Plain language explanation of why the research is being conducted, what problem it addresses, and how the participant was selected — satisfying PHREB NEG 2017's requirement that participants understand the study's societal relevance before consenting.
Procedures: Chronological and precise description of what the participant will be asked to do, number of study visits or sessions required, estimated total time commitment, and whether procedures involve physical contact, biological sampling, or linkage to health records maintained by PhilHealth or private hospitals.
Risks and Discomforts: Disclosure of all foreseeable risks — physical, psychological, social, legal, and economic — with quantified probability where known (citing published adverse event rates from prior studies), and description of mitigation measures including availability of medical care at the researcher's expense for research-related injuries under PHREB NEG 2017 Section 9.
Benefits and Compensation: Distinction between direct benefits to the participant and anticipated societal benefits, avoiding overstated therapeutic benefit (prohibited undue inducement under PHREB NEG 2017 Section 6), and disclosure of any financial payment or reimbursement ensuring it is proportionate and not coercive.
Confidentiality and Data Privacy: Specification of personal data collected, legal basis under Section 12 or 13 of RA 10173, data storage method (de-identified, coded, or anonymized), retention period, DPO name and contact, organizations with data access (sponsors, co-investigators, FDA, PHREB), and confirmation of data subject rights under Sections 16-18 of RA 10173 — including the right to file a complaint with the NPC.
Voluntary Participation and Withdrawal: Unambiguous statement that participation is entirely voluntary and withdrawal is possible at any time without penalty, loss of benefits, or adverse consequences — required by Declaration of Helsinki Paragraph 26 and PHREB NEG 2017 Section 5.3.
Contact Information: Principal investigator's phone number and email, IRB/ERC contact for ethics questions, and independent PHREB contact for complaints at [email protected].
Signature Block: Participant's name, signature, and date; researcher's certification; witness signature where the participant cannot read (required under PHREB NEG 2017 Section 5); and for minor participants — parent or guardian consent plus a separate minor's assent form as annexes per PHREB NEG 2017 Section 11 and Articles 211–216 of the Family Code (EO 209).
Language and Readability: PHREB NEG 2017 requires the ICF to be written in Filipino or English at a reading level appropriate for the target participant population — typically Grade 6 to Grade 8 reading level for community-based studies. Technical jargon must be avoided or explained in plain language. For studies involving participants in regional communities, a translated version in the local dialect (Cebuano, Ilocano, Hiligaynon, or other Philippine languages) may be required by the accredited IRB or ERC.
Copy for Participant: PHREB NEG 2017 Section 5.2 requires that a signed copy of the ICF be provided to the participant immediately after signing. This ensures the participant retains a record of what they consented to and how to contact the research team or the IRB or ERC if questions arise. The forms-legal.com Research Consent Form (Philippines) template incorporates all PHREB NEG 2017 and RA 10173 mandatory elements for PHREB-accredited ERC submission.
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Research Consent Form (Philippines) (Philippines) [Legal document template]. Forms Legal. https://forms-legal.com/philippines/personal/consent/research-consent-form-philippines
"Research Consent Form (Philippines) (Philippines)." Forms Legal, 2026, https://forms-legal.com/philippines/personal/consent/research-consent-form-philippines.
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title = {Research Consent Form (Philippines) (Philippines)},
year = {2026},
howpublished = {\url{https://forms-legal.com/philippines/personal/consent/research-consent-form-philippines}},
note = {Free legal document template. Based on Civil Code of the Philippines (RA 386)}
}Frequently Asked Questions
Under PHREB NEG 2017 Section 5.3 and the Declaration of Helsinki Paragraph 26, a participant in any Philippine research study has the absolute right to withdraw consent at any time without penalty, loss of benefits, or adverse consequences — this right must be explicitly stated in the Research Consent Form. Upon withdrawal, the researcher must immediately stop collecting new data from that participant and document the withdrawal in official study records maintained for the PHREB-accredited Institutional Review Board (IRB) or Ethics Review Committee (ERC). For data already collected, the researcher may retain anonymized or de-identified data unless the participant explicitly requests erasure, in which case Section 16(d) of the Data Privacy Act of 2012 (RA 10173) administered by the National Privacy Commission (NPC) applies. For clinical trials under RA 9711 (FDA Act of 2009) and FDA Circular No. 2013-016 implementing ICH E6 R2 Good Clinical Practice guidelines, the investigator must also report the withdrawal in the Philippine FDA clinical trial registry and Case Report Form. The principal investigator bears primary responsibility for ensuring the withdrawal process complies with PHREB NEG 2017 and RA 10173.
A Research Consent Form in the Philippines must be reviewed and approved by an Institutional Review Board (IRB) or Ethics Review Committee (ERC) accredited by the Philippine Health Research Ethics Board (PHREB) before any research involving human participants may commence. PHREB operates under the Department of Science and Technology (DOST) and Department of Health (DOH) pursuant to Executive Order No. 570 (2006). Accredited bodies include the University of the Philippines Manila Research Ethics Board (UPMREB), De La Salle Health Sciences Institute Research Ethics Committee (DLSHSI-REC), the Ateneo School of Medicine and Public Health Research Institutional Ethics Committee (AMSPH-RIEC), and ethics boards at the Philippine General Hospital (PGH), St. Luke's Medical Center, Makati Medical Center, and the Philippine Heart Center. For social science research at higher education institutions, the institution's ERC under CHED Memorandum Order No. 53-2016 must review and approve the ICF. For multi-site studies, each participating institution's IRB or ERC must independently approve the ICF. No data collection from human participants may begin before written IRB or ERC approval is obtained.
Research involving minors — persons below 18 years under the Family Code of the Philippines (EO 209) — requires enhanced consent procedures under PHREB NEG 2017 Section 11. Parental or legal guardian consent is the primary requirement: both parents must consent where the child is legitimate and both are available, consistent with joint parental authority under Articles 211–216 of the Family Code. Where only one parent is available or the child is illegitimate, sole parental authority governs. For children in DSWD (Department of Social Welfare and Development) institutional settings, the DSWD regional office or institutional head may provide consent where parental authority has been transferred. In addition, the minor's assent is required if the child is 7 years or older — a separate age-appropriate assent form in Filipino or the child's dialect must be provided and verbally explained. Children ages 15–17 may provide independent consent for research directly beneficial to their own health under PHREB NEG 2017 mature minor provisions, subject to IRB approval. The Special Protection of Children Act (RA 7610) and Juvenile Justice and Welfare Act (RA 9344) establish additional protections. Research processing minors' personal data must comply with the Data Privacy Act of 2012 (RA 10173) and NPC Circular 16-01.
The Data Privacy Act of 2012 (RA 10173), administered by the National Privacy Commission (NPC), requires Philippine research institutions to have a lawful basis for processing participants' personal data. Health and medical records, genetic data, and biometric information constitute sensitive personal information under Section 3(l) of RA 10173, requiring explicit consent under Section 13 as the lawful processing basis. The Research Consent Form must therefore specify: the categories of personal data collected; the purposes of processing under Section 12; all parties with data access (investigators, IRB, sponsors, Philippine FDA under RA 9711 for clinical trials); data retention period; security measures under NPC Circular 16-01; the Data Protection Officer (DPO) contact — mandatory for institutions processing data of 250 or more data subjects or any sensitive personal information; and data subject rights under Sections 16–18 of RA 10173, including the right to erasure and the right to file a complaint with the NPC at privacy.gov.ph. International collaborative studies must comply with cross-border data transfer requirements under NPC Advisory No. 2017-01. The dual PHREB NEG 2017 and NPC framework governs all Philippine research consent documentation.
Under PHREB NEG 2017, a Research Consent Form is required for all research involving human participants in the Philippines, though the specific process varies by risk level. Full written informed consent reviewed by a PHREB-accredited IRB or ERC is required for: clinical trials under RA 9711 and FDA Circular No. 2013-016; public health and epidemiological studies collecting identifiable data; social science research at CHED-supervised higher education institutions under CHED Memorandum Order No. 53-2016; studies involving vulnerable populations (children, pregnant women, prisoners, persons with mental illness, OFWs); and studies collecting biological specimens or processing biometric data under Section 13 of RA 10173. Low-risk research — such as studies using fully anonymized secondary data or observational public behavior research — may qualify for expedited IRB review or a consent waiver, but such waivers must be approved by the accredited IRB or ERC, not unilaterally decided by the researcher. Community-based research involving indigenous peoples in ancestral domain areas requires both Free Prior and Informed Consent (FPIC) under RA 8371 (Indigenous Peoples Rights Act) administered by the National Commission on Indigenous Peoples (NCIP) and individual ICFs. The forms-legal.com Research Consent Form (Philippines) template is a starting point — the final ICF must be approved by a PHREB-accredited IRB or ERC before use.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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