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Simple Medical Consent Form
"I need a Simple Medical Consent Form for my private dental clinic that covers routine procedures like fillings and extractions, ensuring compliance with NHS guidelines and including specific provisions for patients with anxiety disorders."
1. Patient Information: Full name, date of birth, contact details, NHS number of the patient
2. Procedure Details: Clear description of proposed medical procedure/treatment including what it involves
3. Risks and Benefits: Detailed explanation of potential risks, side effects, complications and expected benefits of the procedure
4. Declaration of Consent: Patient's confirmation of understanding and voluntary agreement to proceed with the treatment
5. Signatures: Space for patient signature, date, healthcare provider signature and witness signature if required
1. Interpreter Declaration: Additional section for when consent discussions require an interpreter, including interpreter details and confirmation
2. Alternative Treatments: Section outlining other available treatment options and reasons why this procedure is recommended
3. Emergency Contact: Section for recording next of kin or emergency contact details for major procedures
1. Procedure Information Sheet: Detailed medical information about the procedure including preparation instructions
2. Post-Procedure Care Instructions: Comprehensive guidelines for aftercare, recovery and follow-up requirements
3. Capacity Assessment Form: Documentation template for recording mental capacity assessment when required under Mental Capacity Act 2005
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