Caregiver Consent Form For Emergency Treatment In Clark
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FAQ
Examples of informed consent in research include: Written consent forms for clinical trials. Verbal consent for low-risk surveys. Electronic consent for online studies. Assent forms for research involving children. Surrogate consent for studies with cognitively impaired participants.
Purpose – To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached.
I participant name, agree to participate or agree to participation of my child participant name in the research project titled project title, conducted by researcher(s) name who has (have) discussed the research project with me. I have received, read and kept a copy of the information letter/plain language statement.
Instructions for Developing an Informed Consent Document General Information. Describe the purpose(s) of this research study in lay terms. Purpose of the Study. Procedures. Risks. Benefits. Compensation, Costs and Reimbursement. Withdrawal or Termination from Study. Confidentiality.
I have the right to discuss any treatment with my provider. I am encouraged to ask questions about any concerns I have. I understand that if additional testing or invasive procedures are needed, I will be asked to read and sign additional consent forms. This consent is valid until I revoke it in writing.
Include the name and address of the medical facility or physician you are authorizing. Clearly state your relationship to the patient. Write a statement authorizing the medical provider to administer treatment and make necessary medical decisions. Specify any limitations or specific treatments that are authorized.
A Caregiver Consent Form, prepared in advance, assures that the caregiver will be able to make medical decisions guided by health care professionals in your absence. You can create these forms without the need for a lawyer. Place prepared consent form copies next to emergency phone numbers.
(Example: Your participation in this research is entirely voluntary. It is your choice whether to participate or not. Whether you choose to participate or not, all the services you receive at this clinic will continue and nothing will change.
