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INFORMED CONSENT FOR PSYCHOLOGICAL THERAPY, CONSULTATION, CLINICAL ADVOCACY, & LEGAL SERVICES Please read the entire document carefully, and ask a member of AKA any questions for clarification. There
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01
To fill out the 917 informed consent form, follow these steps:
02
Start by reading the entire form to understand its purpose and the information it requires.
03
Begin with the patient's information section. Provide the patient's full name, date of birth, and contact details.
04
Move on to the medical procedure or treatment section. Describe the specific procedure or treatment the patient will undergo.
05
Explain the purpose and benefits of the procedure or treatment in simple terms. Include any potential risks or complications.
06
Ensure the patient understands the information provided by using clear and easily understandable language.
07
If applicable, include information about any alternative treatment options and their associated risks and benefits.
08
Allow the patient to ask questions and clarify any doubts they may have.
09
Once the patient feels fully informed and comfortable, both the patient and the healthcare provider must sign and date the form.
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Make copies of the filled-out form for both the patient and the healthcare provider's records.
11
Store the form securely and in accordance with relevant privacy laws and regulations.

Who needs 917 informed consent for?

01
The 917 informed consent form is necessary for anyone undergoing a medical procedure or treatment that requires informed consent.
02
This can include patients of different age groups, from children to adults.
03
The form ensures that patients have been adequately informed about the procedure or treatment, its risks, benefits, and alternatives, allowing them to make an informed decision.
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Healthcare providers, surgeons, doctors, and medical facilities typically require patients to fill out this form before proceeding with any procedure or treatment.
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917 informed consent is required for individuals to give permission for the use of their personal data for research purposes.
Researchers and institutions conducting research that involves the use of personal data are required to file 917 informed consent.
917 informed consent forms can be filled out by providing detailed information about the research project, how the data will be used, and obtaining signature from the individual giving consent.
The purpose of 917 informed consent is to protect the privacy and rights of individuals by ensuring that they are fully informed about how their personal data will be used.
917 informed consent forms must include details about the research project, data collection methods, data storage and protection measures, and contact information for researchers.
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