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Stephanie Schiller, MSW, LCSW
INFORMED CONSENT for
COUPLES PSYCHOTHERAPY
The decision to enter into couples therapy is a difficult one, usually made during a
painful time in the life of a couple.
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How to fill out informed consent form:
01
Begin by carefully reading the entire informed consent form. Take note of any specific instructions or requirements mentioned.
02
Fill in your personal information accurately and completely. This includes your full name, date of birth, address, and contact details.
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Understand the purpose and nature of the research, medical procedure, or study for which you are being asked to provide consent. If you have any doubts or concerns, seek clarification from the medical professional or researcher.
04
Mark your consent clearly and appropriately. Usually, this involves initialing or signing specific sections or statements indicating your agreement to participate or undergo the procedure.
05
If there are any risks or potential side effects associated with the research or procedure, ensure that these are adequately explained in the form. Take the time to read and understand these risks before providing consent.
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Who needs informed consent for:
01
Patients: Informed consent is typically required from patients before undergoing medical procedures, surgery, or participating in clinical trials or research studies. This ensures that patients have a clear understanding of the benefits, risks, and potential outcomes associated with the proposed treatment or study.
02
Participants: Informed consent is necessary when individuals voluntarily participate in research studies or clinical trials. This ensures that participants understand the purpose, procedures, potential risks, and benefits of the study, as well as their rights as participants.
03
Minors: Informed consent from a parent or legal guardian is usually required when medical procedures or research involve minors. This is to protect the rights and well-being of the child, as they may not have the capacity to fully understand the implications of their participation.
04
Vulnerable populations: Informed consent protocols may have additional requirements for certain vulnerable populations, such as individuals with cognitive impairments, psychiatric conditions, or limited decision-making capacity. Additional measures are often taken to ensure that these individuals are adequately informed and protected.
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Other situations: Informed consent may also be required in various other situations, such as for obtaining permission to use a person's personal health information for research or sharing medical records with other healthcare providers.
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What is informed consent for?
Informed consent is obtained to ensure that individuals are fully aware of the risks, benefits, and alternatives of a treatment or procedure before giving their consent to proceed.
Who is required to file informed consent for?
Medical professionals, researchers, or anyone conducting a study or providing medical treatment requiring consent from a patient or participant.
How to fill out informed consent for?
The informed consent form should be filled out with clear and concise language, detailing the purpose of the procedure, potential risks, benefits, and alternatives, and ensuring the individual understands and agrees to participate.
What is the purpose of informed consent for?
The purpose of informed consent is to protect the rights and autonomy of individuals by ensuring they have full information before making a decision about their medical care or participation in a study.
What information must be reported on informed consent for?
The informed consent form should include details about the procedure or study, risks and benefits, confidentiality, the right to withdraw consent, and contact information for questions or concerns.
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