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AUTHORIZATION AND INFORMED CONSENT FOR LASER INS ITU KERATOMILEUSIS (LAST) AT THE SAN DIEGO EYE BANK TO: Your physician is:, M.D. (Patient Name) Date of Surgery: I. / / Right to be Informed of Risks
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How to fill out authorization and informed consent
01
Read the authorization and informed consent form thoroughly.
02
Provide all requested personal information accurately.
03
Understand the purpose and procedure of the authorization and informed consent.
04
Ask questions if you have any doubts or concerns.
05
Sign and date the form to indicate your agreement and consent.
06
Make a copy of the signed form for your records.
Who needs authorization and informed consent?
01
Authorization and informed consent are required for any individual participating in a research study or clinical trial.
02
Patients or participants who are being offered a treatment, procedure, or intervention that is not part of routine care need to give their authorization and informed consent.
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What is authorization and informed consent?
Authorization is granting permission for something to happen, while informed consent is obtaining consent after providing all relevant information about a procedure or service.
Who is required to file authorization and informed consent?
Individuals who are participating in a study or research project are typically required to sign authorization and informed consent forms.
How to fill out authorization and informed consent?
Authorization and informed consent forms should be filled out by providing all required information and signatures from both the participant and the researcher.
What is the purpose of authorization and informed consent?
The purpose of authorization and informed consent is to ensure that individuals understand the risks and benefits of a study or procedure before agreeing to participate.
What information must be reported on authorization and informed consent?
Authorization and informed consent forms typically include information about the study or procedure, potential risks and benefits, confidentiality, and the rights of the participant.
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