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?into?gr?t health and wellness Integrate Health & Wellness:PDX, LLC 1804 A-B NE Martin Luther King, Jr. Blvd., Portland, OR 97212 971.302.6614 ACUPUNCTURE AND ASIAN MANUAL THERAPY INFORMED CONSENT
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How to fill out informed consent to treatment

How to fill out informed consent to treatment:
01
Ensure that you have received all necessary information: Before filling out the informed consent form, make sure you have been provided with all the relevant information about the treatment you are consenting to. This includes details about the procedure, potential risks and benefits, alternatives, and any other important considerations.
02
Read the form carefully: Take your time to read through the informed consent form thoroughly. Pay attention to the instructions, terms, and conditions outlined in the document. If you have any questions or concerns, seek clarification from your healthcare provider.
03
Provide accurate personal information: Fill in your personal information accurately, including your full name, date of birth, address, and contact details. Providing correct information ensures that the consent form is valid and legally binding.
04
Understand the risks and benefits: Make sure you understand the potential risks and benefits associated with the treatment. This information should be clearly explained to you by your healthcare provider. If you have any doubts or uncertainties, don't hesitate to ask for further explanation.
05
Indicate your agreement or refusal: Informed consent forms typically have sections where you can indicate your agreement or refusal to undergo the treatment. Carefully consider your decision and mark the appropriate box accordingly.
06
Date and sign the form: Once you have reviewed the entire form and made your decision, sign and date the document. Your signature signifies that you have understood the information provided and have willingly given your consent for the treatment.
Who needs informed consent to treatment:
01
Patients: Informed consent to treatment is primarily required from patients who will be undergoing medical procedures or treatments. This ensures that individuals have the autonomy to make decisions about their own healthcare and that they are fully aware of the nature and potential outcomes of the treatment.
02
Legal guardians: In the case of minors or individuals who are unable to give informed consent due to mental incapacitation, the responsibility falls on their legal guardians. Parents or appointed guardians must provide consent on behalf of the person receiving treatment, keeping their best interests in mind.
03
Volunteers in clinical trials: Individuals who participate in clinical trials also require informed consent. They must fully understand the purpose of the trial, the potential risks involved, and any possible benefits. This helps ensure that individuals are fully aware of the nature of the research study and provide their consent willingly.
Informed consent plays a crucial role in promoting ethical and patient-centered care, protecting individual rights, and fostering shared decision-making between healthcare providers and patients.
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