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Stem Cell and Immunotherapy Services Consent for Directed Cord Blood Collection, Testing and Cryopreservation Effective Date: 26/11/13 NOTE FOR HEALTHCARE PROFESSIONAL: Refer to document 2L (INF286)
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How to fill out consent for directed cord

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01
To fill out the consent for directed cord, you will first need to gather all the necessary information. This includes the personal and medical details of both the person donating the cord blood and the recipient.
02
Start by identifying the person donating the cord blood. Provide their full name, contact information, and any relevant medical history or conditions.
03
Next, you will need to specify the recipient of the cord blood. Include their name, contact details, and the reason for needing the directed cord blood donation.
04
Provide the details of the healthcare professional who will be involved in the cord blood collection and transplantation process. Include their name, contact information, and any relevant medical license or certification details.
05
It is crucial to specify your consent for the directed cord blood donation. Indicate that you understand the purpose and implications of the donation and that you are willingly consenting to the process.
06
Review the consent form thoroughly to ensure all the information provided is accurate and complete. Make sure all required sections are filled out correctly.

Who needs consent for directed cord?

01
The person donating the cord blood usually needs to give their consent for the directed cord blood donation. This could be a family member or someone identified as a matching donor for the recipient.
02
The recipient or their legal guardian may also need to provide consent if they are capable of doing so. This is to ensure that they understand the procedure and the potential risks involved.
03
In some cases, the healthcare professional or medical facility facilitating the directed cord blood donation may require written consent to ensure all parties involved are aware and have given their approval.
Please note that the requirements for consent may vary depending on the country, state, or medical institution involved. It is always advisable to consult with medical professionals or legal experts regarding the specific consent guidelines for directed cord blood donations in your region.
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Consent for directed cord is the legal authorization given by the parent(s) or guardian(s) to have cord blood collected from a specific individual for storage and potential future use.
The parent(s) or guardian(s) of the individual from whom the cord blood will be collected are required to file the consent for directed cord.
To fill out the consent for directed cord, the parent(s) or guardian(s) must provide their personal information, the individual's information, and sign the form to authorize the cord blood collection.
The purpose of consent for directed cord is to ensure that the parent(s) or guardian(s) have legally authorized the collection and storage of cord blood from a specific individual for potential future use.
The consent for directed cord must include personal information of the parent(s) or guardian(s), information of the individual from whom the cord blood will be collected, and the authorization signature.
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