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COVID-19 PANDEMIC CONSENT FORM I (patient or guardian name)___ authorize Dr.___ (your CRA physicians name) to perform an elective surgery OR in clinic procedure during the COVID-19 pandemic. I understand
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How to fill out special consent form for

01
Obtain a copy of the special consent form from the appropriate authority or organization.
02
Fill out all required personal information, such as name, address, contact number, and date of birth.
03
Clearly indicate the purpose of the special consent form and provide any necessary details or explanations.
04
Sign and date the form to certify that the information provided is accurate and complete.
05
If applicable, have a witness sign the form to confirm the accuracy of the information provided.

Who needs special consent form for?

01
Individuals who require permission or authorization for a specific action or activity.
02
Organizations or institutions that have specific requirements for consent or authorization.
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The special consent form is required for gaining permission or approval for a specific action or decision.
Anyone who needs authorization or consent for a particular purpose may be required to file a special consent form.
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The purpose of the special consent form is to ensure that all parties involved are informed about and agree to the specific action or decision being made.
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