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Consent to Examination or Treatment PolicyPolicy Register No: 04080 Status: PublicDeveloped in response to:Good Governance Practice NH SLA Risk management standards DOH Guidance Human Tissue Authority

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How to fill out consent to examination or

01

To fill out consent to examination, follow these steps:

02

Start by writing the name of the person consenting to the examination.

03

Provide the date on which the consent is being given.

04

Clearly state the purpose of the examination.

05

Specify the type of examination being consented to.

06

List any risks or potential side effects associated with the examination.

07

Include any special instructions or preparations that need to be followed before the examination.

08

Provide a space for the person giving consent to sign and date the document.

09

Optionally, you may include a section for witnesses to also sign and date the consent form.

10

Make sure the consent form is clear, concise, and easy to understand.

11

Keep a copy of the filled-out consent form for your records.

Who needs consent to examination or?

01

Consent to examination is typically needed in the following situations:

02

- When a medical professional needs to perform a medical examination on a patient.

03

- When an employer requires a pre-employment medical examination.

04

- When a research study requires participants to undergo specific examinations.

05

- When a legal guardian needs to provide consent for a minor's medical examination.

06

- When a person voluntarily wants to undergo a medical examination for personal reasons.

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