Get Consent.pdf - Penn State Milton S. Hershey Medical Center - Pennstatehershey

Completing the Consent.pdf is an essential step in authorizing your treatment at the Penn State Milton S. Hershey Medical Center. This guide aims to provide you with clear, step-by-step instructions to ensure that you fill out the form accurately and with confidence.

Follow the steps to correctly fill out the Consent form.

1. Click the ‘Get Form’ button to access the consent document and open it in the online editor.
2. Begin by entering your physician's name in the designated area, where it states 'Dr__________________________.' Ensure that you include the full name to confirm the health professional responsible for your care.
3. Specify the number of doses of you will receive in the corresponding blank and indicate the interval between each dose, filling in the provided spaces for clarity.
4. Review the section that outlines the nature and purpose of the proposed therapy. This will help you understand the treatment process, which involves administering medication through an intravenous line.
5. Carefully read and acknowledge the risks associated with the proposed therapy outlined in the form. This includes information about venipuncture, possible side effects, and warnings regarding use for pregnant individuals.
6. Complete the section regarding any limitations you may want to impose on your treatment. If there are no limitations, indicate this clearly.
7. Review the authorization statements about the preservation and use of tissues for scientific or teaching purposes. You may choose to authorize or decline this option based on your preferences.
8. Provide your signature in the designated area, ensuring to also enter the date and time of your signing. If applicable, include the signature of an authorized person consenting on your behalf.
9. If required, have a witness sign the form, along with their corresponding date and time.
10. At the end, ensure your physician also signs the document, completing your authorization process.
11. Once your form is fully completed, you may save changes, download, print, or share the finalized document as needed.

Complete your consent form online today to enhance your treatment experience.