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INFORMED CONSENT & RELATIONSHIP AGREEMENT Tammie D. Martin, M. Ed., LPC Supervisor I am glad to be working with you. By providing this important information about my professional services, I hope
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To fill out informed consent and relationship form, follow these steps:
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Read the form carefully to understand its purpose and requirements.
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Provide your personal information accurately, including your full name, date of birth, and contact details.
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Specify the purpose of the informed consent, such as participating in a research study or undergoing a medical procedure.
05
Understand and acknowledge the risks and benefits associated with the consent.
06
If applicable, mention any alternative treatments or procedures that were discussed with your healthcare provider.
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Sign and date the form at the designated areas to indicate your informed consent.
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Keep a copy of the filled-out form for your records.
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If you have any doubts or questions, seek clarification from the relevant authority or healthcare professional.
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Remember, it's essential to provide informed consent willingly and with a clear understanding of the involved aspects.

Who needs informed consent amp relationship?

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Informed consent and relationship forms are generally required in various situations, including:
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- Medical procedures: Patients undergoing surgeries, treatments, or diagnostic tests often need to provide informed consent to ensure they understand the potential risks and benefits involved.
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- Research studies: Participants in clinical trials and research studies are required to give informed consent, allowing them to understand the study protocols, potential risks, and benefits.
04
- Counseling or therapy sessions: Therapists or counselors may request informed consent from their clients to establish a professional relationship and ensure mutual understanding of confidentiality and treatment goals.
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- Legal agreements: In some legal matters, such as settling disputes or entering into certain contracts, signing an informed consent form may be necessary to acknowledge understanding of the terms and conditions.
06
- The exact requirements for informed consent may vary depending on specific laws, regulations, or organizational policies. It's always advisable to consult the relevant authorities or professionals for specific situations.
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