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CONSENT FORM Please tick () if consent given I give consent for information about me/my child (including digital photographs and videos) to be recorded by my/my children primary care taker / Physiotherapist
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How to fill out consent form please tick

How to fill out consent form, please tick:
01
Obtain the consent form: Start by obtaining the consent form from the appropriate authority or organization. This may involve contacting the relevant department or downloading the form from their website.
02
Read the instructions: Carefully read the instructions provided with the consent form. The instructions will guide you through the process and highlight any specific requirements or sections that need to be filled out.
03
Provide personal information: Begin by providing your personal information in the designated fields. This typically includes your full name, address, contact information, and any other relevant details.
04
Specify the purpose of consent: Indicate the specific purpose for which the consent is being given. This could be for medical treatment, participation in a research study, permission for a minor, or any other specific circumstance. Tick the appropriate box or write a brief explanation if required.
05
Review and understand the terms: carefully review the terms and conditions outlined in the consent form. This may include potential risks, confidentiality agreements, or other legal aspects. Ensure that you understand the implications before providing your consent.
06
Consent signature: If you agree to the terms and conditions, sign and date the consent form. Make sure the signature is legible and matches the name provided earlier. Some forms may require additional witness signatures, so follow the instructions accordingly.
07
Return the form: Once you have completed filling out the consent form, double-check all the information provided. Make a copy for your records if necessary. Return the form to the appropriate authority or organization as specified in the instructions. It is recommended to send it through a secure and traceable method if mailing is required.
Who needs consent form, please tick:
01
Patients or individuals receiving medical treatment
02
Participants in research studies or clinical trials
03
Minors, in cases where parental consent is necessary
04
Individuals participating in activities that may have potential risks or liabilities
05
Individuals giving consent for their personal data to be used or shared
06
Individuals giving consent for photographs, videos, or other media to be used
Please note that this list is not exhaustive, and the need for a consent form may vary depending on the specific circumstances and jurisdictions. It is always advisable to consult with the relevant authority or legal professional to determine the specific requirements in your situation.
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