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BAYSIDE MEDICAL PRACTICE (P): 528 6152 6/17 Patterson Avenue, Mission Bay, Auckland (F): 521 8417 (E): info.baysidemedical gmail.com Informed Consent for: Ear Syringing is for removing ear wax. It
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How to fill out informed consent form:

01
Read the entire form: Begin by carefully reading through the informed consent form to ensure you understand all the information and requirements. Pay attention to any specific instructions or sections that require your attention.
02
Provide personal information: Fill in your personal information accurately, such as your full name, date of birth, and contact details. Make sure to double-check your information for any errors or missing details.
03
Understand the purpose: Familiarize yourself with the purpose of the study or procedure for which you are providing consent. It is essential to comprehend the risks, benefits, and goals of the study or treatment so that you can make an informed decision.
04
Ask questions: If you have any doubts or concerns regarding the study or procedure, do not hesitate to ask questions. Seek clarification from the healthcare professional or researcher to ensure you fully understand what you are consenting to.
05
Consent statement: Carefully read the consent statement and make sure you agree with it. This statement outlines your voluntary participation and acknowledges your understanding of the study or procedure. If you agree with the terms, proceed with signing and dating the form accordingly.
06
Witness signature: In some cases, a witness signature may be required. This is usually the case when the study or procedure involves potential risks or is part of a legal requirement. Ensure that an authorized person observes your signature and signs as a witness if necessary.

Who needs informed consent for?

01
Patients undergoing medical procedures: Informed consent is crucial for patients undergoing medical procedures, surgeries, or treatments that involve potential risks or impact on their health. It ensures that the patient understands the procedure, its associated risks and benefits, and grants their voluntary consent.
02
Participants in clinical trials or research studies: Individuals participating in clinical trials or research studies must provide informed consent. This allows them to understand the purpose of the study, potential risks, benefits, and any alternative treatments. Informed consent ensures that participants are knowledgeable about their involvement and voluntarily decide to participate.
03
Participants in psychological or counseling services: Clients seeking psychological or counseling services should give informed consent before receiving treatment. This allows them to understand the nature of therapy, confidentiality policies, treatment methods, and any potential risks. Informed consent is crucial in maintaining ethical standards and respecting clients' rights to make informed decisions about their treatment.
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Informed consent is obtained from a patient before a medical procedure to ensure they understand the risks, benefits, and alternatives.
Healthcare providers are required to obtain informed consent from their patients before performing medical procedures.
Informed consent forms can be filled out by describing the procedure, risks, benefits, and alternatives, and having the patient sign the form.
The purpose of informed consent is to ensure that patients understand the risks and benefits of a medical procedure before giving their consent.
Informed consent forms should include details about the procedure, risks, benefits, alternatives, and signature of the patient and healthcare provider.
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