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SAMPLE SEPARATE INFORMED CONSENT This consent form is designed to be used in addition to the surgery or procedure consent form. ELECTIVE SURGERY OR ELECTIVE PROCEDURE DURING COVID-19 PANDEMIC INFORMED
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How to fill out elective surgery informed consent

01
Read the elective surgery informed consent form carefully.
02
Make sure you understand all the information provided.
03
Fill out the personal information section, including your name, date of birth, and contact information.
04
Review the risks and benefits section and mark your choices or preferences.
05
If there are any questions or concerns, ask the healthcare provider for clarification.
06
Sign and date the consent form.
07
Provide a copy of the consent form to the healthcare provider and keep a copy for yourself.

Who needs elective surgery informed consent?

01
Anyone who is undergoing elective surgery needs to fill out an informed consent form. This includes patients who have chosen to have a surgical procedure that is not considered medically necessary or urgent.
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Elective surgery informed consent is a legal document that ensures a patient is fully informed about the risks, benefits, and alternatives to a proposed surgical procedure before undergoing elective surgery.
The healthcare provider or surgeon performing the elective surgery is required to obtain and file the elective surgery informed consent.
To fill out elective surgery informed consent, the healthcare provider must explain the procedure, risks, benefits, and alternatives to the patient, and then the patient needs to sign the document indicating their understanding and agreement.
The purpose of elective surgery informed consent is to ensure that patients have the necessary information to make an informed decision regarding their healthcare and to protect the rights of both patients and healthcare providers.
The information that must be reported includes the patient's diagnosis, the proposed procedure, the risks and benefits of the procedure, alternative treatment options, and the expected outcomes.
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