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Karin Rasmussen, DC LLC 7824 SE Taylor St. Portland, OR 97215 p 503.803.4631 Patient Name: Please read and sign the following consents, releases and agreements. I f you have any questions, we will
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How to fill out consent form - doctor?

01
Obtain a blank consent form from your medical office or hospital. Make sure it is the correct form for the specific procedure or treatment that you will be performing.
02
Read the consent form thoroughly to understand the information it requires. Pay attention to any specific instructions or sections that may need to be completed by the patient or legal guardian.
03
Begin by filling out the patient's personal information accurately, including their full name, date of birth, address, and contact information.
04
If applicable, indicate the date and time of the procedure or treatment.
05
Provide a detailed description of the procedure or treatment being consented to. Include any potential risks, complications, or side effects that the patient should be aware of.
06
Ensure that the patient understands the purpose and potential benefits of the procedure or treatment by explaining it to them in clear and simple terms.
07
If the patient is a minor or lacks the capacity to give consent, have a legal guardian or responsible adult complete the relevant sections on the form.
08
Review the form with the patient or legal guardian, making sure they understand the information and any potential risks involved. Answer any questions they may have before proceeding.
09
Once the form is completed and signed by the patient or legal guardian, sign and date it as the doctor obtaining the consent.
10
Keep a copy of the signed consent form in the patient's medical records and provide a copy to the patient for their own records.

Who needs consent form - doctor?

01
Doctors need consent forms to ensure they have obtained legally valid consent from their patients before performing any medical procedures or treatments.
02
Patients also benefit from consent forms as they provide them with important information about the procedure or treatment, its potential risks, and the opportunity to ask questions and make informed decisions about their healthcare.
03
Legal guardians may need to complete consent forms on behalf of minors or individuals who lack the capacity to give consent, ensuring that decisions about their medical care are made in their best interest and with proper legal authorization.
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