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Memorial Sloan Kettering Cancer Center
IRB Number: 06007 A(26)
Approval date: 18May2018PATIENT INFORMED CONSENT FOR CLINICAL RESEARCH
Dynamic Contrast Enhanced MRI (DCE MRI), Diffusion Weighted MRI
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How to fill out patient informed consent for
How to fill out patient informed consent for
01
Start by obtaining the patient informed consent form template.
02
Read through the form carefully to understand the information and sections required.
03
Provide the patient with a clear explanation of the purpose, risks, benefits, and alternatives of the proposed treatment or procedure.
04
Answer any questions the patient may have regarding the treatment or procedure.
05
Ensure the patient understands the information provided and is capable of making an informed decision.
06
If the patient agrees to proceed, provide them with a copy of the informed consent form.
07
Review each section of the form with the patient, ensuring they understand the content.
08
Fill out the patient's personal information, including their full name, date of birth, and contact details.
09
Document the treatment or procedure being consented to, including any specific details or instructions.
10
Have the patient sign and date the informed consent form.
11
If applicable, obtain the signature of a witness who can confirm the patient's consent.
12
Keep a copy of the signed informed consent form in the patient's medical records.
13
Provide the patient with a copy of the signed form for their records as well.
14
Ensure the patient has ample opportunity to ask further questions or seek clarification before signing the form.
Who needs patient informed consent for?
01
Patient informed consent is required for any medical treatment or procedure that involves risks or potential harm to the patient.
02
This includes surgeries, invasive procedures, clinical trials, experimental treatments, certain medications, and any other intervention where informed consent is necessary to ensure the patient fully understands the implications of their decision.
03
Informed consent may also be required for non-medical activities, such as participation in research studies, disclosure of patient information, or sharing of medical records.
04
Typically, healthcare providers and medical institutions are responsible for obtaining patient informed consent to ensure legal and ethical obligations are met.
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What is patient informed consent for?
Patient informed consent is for ensuring that patients are fully aware of the risks, benefits, and alternatives of a medical procedure or treatment before they give their agreement to proceed.
Who is required to file patient informed consent for?
Healthcare providers and institutions performing medical procedures or treatments that require informed consent are required to file patient informed consent.
How to fill out patient informed consent for?
To fill out patient informed consent, providers must present the information clearly, ensure the patient understands it, and have the patient sign the form indicating their agreement.
What is the purpose of patient informed consent for?
The purpose of patient informed consent is to protect patients' autonomy, ensuring they make informed decisions about their healthcare.
What information must be reported on patient informed consent for?
The information that must be reported includes the nature of the proposed treatment, risks and benefits, alternatives, and the potential consequences of not undergoing the treatment.
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