Sample Letter for Medical Consent Letter — with Enclosed Form Dear [Recipient's Name], I hope this letter finds you well. I am writing to seek your consent for the medical treatment of [Patient's Name], a resident of Harris, Texas. As [Patient's Name]'s [relationship to patient], it is crucial that I obtain your informed consent prior to any medical procedures or interventions. To ensure a smooth and efficient process, we have enclosed a Medical Consent Form with this letter. This form outlines the specific medical treatments, procedures, or interventions that may be required for [Patient's Name]. By signing this form, you are granting your consent to healthcare professionals to administer medical care to [Patient's Name]. It is important to note that this consent is valid for a specified period of time, commencing from the date of the signed form and extending until [specified end date]. During this period, it authorizes medical professionals to undertake any necessary medical interventions in the event of an emergency or when [Patient's Name] is unable to make decisions regarding their own medical care. Understanding the importance of free and informed consent, it is recommended that you thoroughly read and understand the Medical Consent Form before signing. In case you have any questions or reservations regarding the proposed treatments or interventions, we kindly request you to consult with a healthcare professional or [Patient's Name]'s primary physician. It is crucial that you feel comfortable and fully informed about the medical care your loved one will receive. Once you have reviewed the enclosed Medical Consent Form, kindly sign and date it at the designated spaces provided. You may return the form to the address mentioned below by [specified deadline], by mail or in person. [Your Name] [Your Contact Information] In the event you require any additional information or assistance, please do not hesitate to contact us at [your contact number] or [your email address]. We are committed to ensuring the utmost care and comfort for [Patient's Name], and your cooperation in providing medical consent is greatly appreciated. Thank you for your attention and prompt response to this matter. Sincerely, [Your Name] Enclosure: Medical Consent Form
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.