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L 'Hp ital Clinique d 'Urgency pour Infants Club NACA ACCORD INFORM DU PATIENT/PARENT/REPENTANT LEGAL Section/Department: Donne's Du patient/parent/repentant legal /: JE, LE sous sign domicile en

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How to fill out accord inform du patientparentreprsentant

01

To fill out Accord Inform du Patient/Parent/Représentant, follow these steps:

02

Start by writing the patient's or parent's(or representative's) full name at the top of the form.

03

Enter the date of the form in the specified field.

04

Provide the contact information of the patient/parent/representative, such as phone number and address.

05

The next section requires you to indicate the nature of the consent being provided.

06

If applicable, specify any limitations or conditions for the consent.

07

Sign and date the form at the bottom to complete the process.

Who needs accord inform du patientparentreprsentant?

01

Accord Inform du Patient/Parent/Représentant is needed in medical and healthcare settings where consent is required from the patient, parent, or legal representative.

02

This form is typically used when a medical procedure or treatment is being performed on a minor or an individual who is not capable of giving consent.

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