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What is informed consent and when, why, and how must it be obtained? Standard Notice and Consent Documents Under the No Surprises Act.Informed consent to medical treatment is fundamental in both ethics and law. Informed consent requires a thorough understanding of transfusions and the ability to convey this information to a patient in a way that they can understand it. Consent to treatment means a person must give permission before they receive any type of medical treatment, test or examination. A signed document may be one required part of the informed consent process. But it's not the beginning or the end. A description of all the procedures that will be completed during enrollment on the clinical trial. Thus, there is always a degree to which informed consent must be assumed or inferred based upon observation, or knowledge, or legal reliance. Appropriate consents, permissions and releases must be obtained where authors wish to include case details or other personal information.