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THEUNIVERSI TY OF BRITISH COLUMBIA Faculty of Medicine Department of Family Practice: Video recording PATIENT CONSENT FORM Our Family Practice office is a teaching clinic. We teach medical doctors

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How to fill out video recordingpatient consent form

01

Start by providing the necessary information on the patient consent form, such as the patient's name, date of birth, and contact information.

02

Clearly outline the purpose of the video recording and how it will be used, ensuring that the patient understands and agrees to the terms.

03

Explain any potential risks or benefits of the video recording to the patient, and address any concerns they may have.

04

Have the patient sign and date the form to indicate their consent to be recorded, ensuring that they have had the opportunity to ask any questions.

05

Keep a copy of the completed form in the patient's medical records for future reference.

Who needs video recordingpatient consent form?

01

Healthcare providers who plan to record video of a patient for diagnostic, research, or educational purposes.

02

Patients who are willing to consent to being recorded for healthcare-related purposes.

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What is video recordingpatient consent form?

Video recording patient consent form is a document that grants permission for recording a patient's medical consultation or procedure on video.

Who is required to file video recordingpatient consent form?

The healthcare provider or facility conducting the recording is required to file the video recording patient consent form.

How to fill out video recordingpatient consent form?

The form must be filled out with the patient's name, date of birth, the purpose of the recording, and signed by the patient or their legal guardian.

What is the purpose of video recordingpatient consent form?

The purpose of the form is to ensure that the patient is aware of and agrees to being recorded during a medical consultation or procedure.

What information must be reported on video recordingpatient consent form?

The form must include the patient's personal information, the purpose of the recording, and the patient's signature.

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