Withdrawal

You may withdraw from the ABC Study at any time without giving us a reason. Your decision to withdraw will not affect your relationship with Cancer Council Victoria.

You are welcome to contact us via email at info@abcstudy.com.au or call 1800 688 419 (free call within Australia) if you have any questions.

If you would like to withdraw from the ABC Study, please make sure the following details are correct. This is so we update the correct record. If you would prefer to confirm these details over the phone, please call us on the phone number listed above.

Personal Details

First name

Surname

Date of birth

Day Month Year

Email address

Please then choose ONE of the following options:

Under Withdrawal option #1 and Withdrawal option #2:

We will not invite you to participate in any future study components or sub-studies and we will not send you any further updates about the progress of the study.
We may continue to use the information and samples you have already provided.
We will not obtain any new information about you from hospitals, pathology laboratories, or the Victorian or Australian Electoral Commission.
We will not obtain any new Medicare or PBS claims information. If you have previously consented for this data to be released to the study, we will withdraw your consent for this information to be released to us.

Withdrawal option #1

We may continue to obtain new information about you from cancer and death registries. This will allow you to continue to contribute to cancer research without receiving any further contact from us. Any information obtained will remain confidential.

I understand I am withdrawing from the ABC Study and understand the implications of Withdrawal option #1 explained above.

Withdrawal option #2

We will not obtain any new information about you from cancer and death registries.

I understand I am withdrawing from the ABC Study and understand the implications of Withdrawal option #2 explained above.

After you withdraw, we may discover genetic information through our research that may be relevant to you and your family. Only a small number of people who participate in research will have important genetic information identified that may be relevant to them and/or their family. Please indicate whether you would like to receive this information. Further information to help you make this decision can be found here.

Yes, I would like to receive genetic information that may be relevant to me and my family.

No, please do not contact me about genetic information that may be relevant to me and my family

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Alternatively, if you want us to destroy the information and any unused samples you have already provided, please submit this form.