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Proton Therapy Center Czech Bud nova 1a, 180 00 Prada 8 http://www.ptc.cz INFORMED CONSENT TO THE DIAGNOSTIC PROCEDURE PTC IC RPG Page 1 of 3 Version 1 Site (clinic, department): The physician who
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Start by reading the entire form carefully to understand its purpose and what it entails.
02
Provide your full name, contact information, and any other personal details required.
03
Carefully review the purpose and risks involved in the study or procedure that the consent form relates to.
04
Ask questions to clarify any doubts or concerns you may have before signing the form.
05
Sign and date the form to indicate your agreement and consent to participate.
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If applicable, ensure that a legally authorized representative also signs the form.
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Keep a copy of the completed form for your records.

Who needs informed consent?

01
Informed consent is required for anyone who is participating in a research study or medical procedure that involves potential risks or impact on their health.
02
It is applicable to patients, volunteers, or subjects who are asked to participate in experimental treatments, clinical trials, or any form of research.
03
The purpose of informed consent is to ensure that individuals have a clear understanding of what they are agreeing to and provide their consent willingly and without coercion or pressure.
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