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Proton Therapy Center Czech Bud nova 1a, 180 00 Prague 8 http://www.ptc.cz INFORMED CONSENT TO THE DIAGNOSTIC PROCEDURE PTC IC NM Page 1 of 3 Version number: 1 Site (clinic, department): The physician
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How to fill out informed consent PET CT:

01
Begin by reading the informed consent form carefully. Make sure you understand all the information and requirements before proceeding.
02
Fill out your personal details accurately, such as your name, date of birth, and contact information. This ensures that the consent form is specific to you and your case.
03
Familiarize yourself with the purpose of the PET CT scan. This will help you understand the benefits and potential risks associated with the procedure.
04
Review the potential risks and side effects mentioned in the consent form. Some common risks may include allergic reactions to the contrast dye, discomfort during the scan, or exposure to a small amount of radiation.
05
If you have any questions or concerns about the procedure or consent form, don't hesitate to ask your healthcare provider. They are there to provide you with the necessary information and address any uncertainties you may have.
06
Once you are confident and informed about the procedure, sign the consent form. This indicates that you understand the risks and benefits and have given your voluntary consent for the PET CT scan to be performed.

Who needs informed consent PET CT:

01
Individuals who are scheduled to undergo a PET CT scan. This medical imaging procedure helps in the detection and evaluation of various conditions, such as cancer, heart disease, and neurological disorders.
02
Patients who are at a higher risk for adverse reactions to contrast dye or radiation exposure should carefully consider the risks and benefits before giving their informed consent.
03
Regardless of age, it is important for patients to understand and provide their consent for the procedure, unless they are unable to do so due to a mental or physical condition that hinders their decision-making capacity. In such cases, a legal guardian or surrogate may provide the informed consent on their behalf.
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Informed consent for a PET CT scan is a process in which a patient is given detailed information about the scan, its risks and benefits, and must voluntarily give permission before the procedure is performed.
The patient undergoing the PET CT scan is required to give informed consent before the procedure.
The patient must carefully read the information provided by the healthcare provider, ask any questions they may have, and sign the consent form to indicate their agreement.
The purpose of informed consent for a PET CT scan is to ensure that the patient fully understands the procedure, risks involved, and gives their voluntary permission before the scan is performed.
The informed consent form for a PET CT scan must include information on the procedure, risks and benefits, alternative options, and must be signed by the patient.
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