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INFORMED CONSENT FORM: ORAL MODERATE SEDATION The purpose of this document is to provide an opportunity for the children legally responsible parent/guardian to understand and give permission for oral
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How to fill out conscious sedation informed consent

How to fill out conscious sedation informed consent
01
Obtain a copy of the conscious sedation informed consent form.
02
Read the form carefully to understand the required information and sections.
03
Ensure the patient's name, date of birth, and other personal identifying information is correctly filled out.
04
Provide a detailed description of the procedure for which conscious sedation is being administered.
05
Explain the risks and benefits of conscious sedation to the patient, including potential complications.
06
Obtain the patient's signature, indicating their understanding and agreement to the informed consent.
07
Ensure any necessary witness signatures are also obtained, if required by local regulations.
08
Make a copy of the completed and signed informed consent form for the patient's medical record.
09
Keep the original copy of the form in a secure and accessible location.
10
Provide the patient with a copy of the signed form for their own records.
Who needs conscious sedation informed consent?
01
Any patient who is undergoing a medical or dental procedure that requires conscious sedation should have an informed consent form.
02
This includes patients of any age, from children to adults.
03
The purpose of the informed consent is to ensure that the patient understands the potential risks, benefits, and alternatives to conscious sedation.
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