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Southern Arizona Neuropsychology Associates, Pediatric Evaluation Informed ConsentPatient name: DOB: Purpose of Evaluation: Your child will be undergoing a comprehensive neuropsychological evaluation
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How to fill out pediatric-informed-consent

01
Read the informed consent form carefully and ensure that you understand it.
02
Provide accurate personal information of the pediatric patient including name, age, and contact details.
03
Understand the purpose and nature of the treatment or procedure being informed about.
04
Ask any questions you may have before signing the form.
05
Review any potential risks or side effects mentioned in the form.
06
Consider the benefits and alternatives to the proposed treatment or procedure.
07
Sign the form only when you are confident in your understanding and agreement.
08
If you have any doubts or concerns, seek clarification from a healthcare professional.

Who needs pediatric-informed-consent?

01
Pediatric-informed-consent is required for any medical treatment or procedure involving individuals who are under the age of 18.
02
It is important for parents or legal guardians to provide informed consent on behalf of their child or ward.
03
Healthcare providers and medical institutions also require pediatric-informed-consent to ensure transparency and legal compliance.
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Pediatric-informed-consent is a legal and ethical process where guardians or parents are provided with information about a child's medical treatment or participation in research, ensuring they understand the benefits, risks, and alternatives before giving consent.
Healthcare providers, researchers, or institutions conducting medical treatments or studies involving children typically are required to file pediatric-informed-consent.
To fill out pediatric-informed-consent, ensure you include details such as the child's information, nature of the treatment or study, potential risks and benefits, alternatives, and signatures from both the parent or guardian and witness.
The purpose of pediatric-informed-consent is to protect the child's rights and ensure that parents or guardians make informed decisions regarding their child's health care or participation in research.
Information that must be reported includes the child's name, age, nature of the proposed intervention, key risks involved, possible benefits, and the signatures of the parent or guardian and the person obtaining consent.
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