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1 A BETTER YOU COUNSELING SERVICES, LLC Sasha L. Alumna, LPC, CDs 4985 Lower Roswell Road, Suite 200, Marietta, Georgia 30068 4042161135 INFORMATION, AUTHORIZATION, & CONSENT TO TREATMENT I am very
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Fill in your personal information accurately. This includes your full name, date of birth, address, contact details, and any other relevant information requested.
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Read and understand each section or paragraph of the form. Pay attention to any specific instructions or guidelines provided.
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Submit the completed form to the appropriate individual or organization, as instructed.

Who needs informed consent amp authorization:

01
Individuals undergoing medical procedures or treatments. This includes surgeries, medical tests, experimental treatments, or participation in clinical trials.
02
Patients accessing mental health services or counseling.
03
Participants in research studies or experiments.
04
Minors or individuals under legal guardianship, as their legal representative or guardian will need to provide consent and authorization on their behalf.
05
Any individual whose personal or medical information will be accessed, shared, or used for research purposes.
Please note that the above information is a general guide and may vary depending on the specific context and legal requirements. It is always recommended to consult with a qualified professional or legal expert for accurate and specific guidance.
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Informed consent and authorization is a process where individuals are given information about a medical procedure, treatment, or research study, and are asked to agree to or authorize the procedure.
Healthcare providers, researchers, or institutions conducting medical procedures, treatments, or research studies are required to obtain informed consent and authorization from the individuals involved.
To fill out informed consent and authorization, individuals must carefully read and understand the provided information, ask any questions they may have, and then sign the document to indicate their agreement.
The purpose of informed consent and authorization is to ensure that individuals are fully informed about their medical treatment or participation in research studies, and to give them the opportunity to make an informed decision about their healthcare.
Informed consent and authorization forms typically include information about the procedure or study being conducted, potential risks and benefits, alternative options, and the individual's rights.
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