Get Authorization For Extracorporeal Membrane Oxygenation Ecmo 577248 Hartford Hospital Consent Forms

Filling out the Authorization For Extracorporeal Membrane Oxygenation (ECMO) consent form is an important step in your medical journey. This guide provides clear, step-by-step instructions to ensure that you can complete the form accurately and confidently.

Follow the steps to complete the consent form online.

1. Click ‘Get Form’ button to obtain the consent form and open it in your chosen editing platform.
2. Begin by entering the patient’s name in the designated field to identify the individual for whom the consent is being provided.
3. In the authorization section, write the name of the physician who will be performing the ECMO procedure in the specified area.
4. Clearly articulate the specific procedure you are consenting to, ensuring you include 'Placement of Extracorporeal Membrane Oxygenation (ECMO)' to identify the treatment accurately.
5. Review the information regarding attendance and involvement of other medical personnel. Acknowledge your understanding of their roles by reading this section carefully.
6. Examine the risks and alternatives outlined in the form. It is important that you read through each point to fully understand the potential consequences of the procedure.
7. Initial next to the statement regarding femoral access cannulae after thoroughly reading the associated risks to confirm your understanding.
8. Affirm your awareness of other foreseeable risks that are covered in discussions with your medical team, confirming your understanding in the appropriate section.
9. Sign the form in the designated area to indicate your consent and authorization for the procedure. Include the date and time of your signature.
10. If necessary, ensure an interpreter's information is filled out if they were responsible for explaining the procedure. Include their name in the specified area.
11. Finally, choose to save changes to your form, and if required, download, print or share the completed consent form as needed.

Complete your Authorization For Extracorporeal Membrane Oxygenation consent form online today for a smooth healthcare experience.