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Get Therapeutic Phlebotomy Consent Form
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How to fill out the Therapeutic Phlebotomy Consent Form online
Filling out the Therapeutic Phlebotomy Consent Form online can be a straightforward process if you follow the correct steps. This guide is designed to provide you with a clear and supportive approach to completing the form effectively.
Follow the steps to fill out your consent form correctly
- Press the ‘Get Form’ button to access the Therapeutic Phlebotomy Consent Form and open it in your preferred online editor.
- Read through the informed consent section carefully. This section outlines the procedure, the possible benefits, and the associated risks of therapeutic phlebotomy. Ensure you understand all information before proceeding.
- Locate the Patient’s Statement section. If you are over 18 years old, check the relevant box confirming that you are the patient and at least 18 years of age.
- Sign your name in the designated area under Patient’s Signature, and fill in today’s date.
- Print your name clearly in the section labeled Patient’s Printed Name, ensuring it matches your identification documents.
- If the patient is under 18 years of age, check the appropriate box and complete the additional fields with the name of the patient, the printed name and signature of the parent or guardian, today's date, and the relationship to the patient.
- Review the entire form for accuracy and completeness. Make sure all necessary fields are filled out correctly before submitting.
- Once satisfied, save your changes in the online editor. You can also choose to download, print, or share the completed form as needed.
Take the next step in your therapeutic care by completing the consent form online.
Patient consent is documented on the “Therapeutic Whole Blood Phlebotomy Consent” form. Once consent has been obtained, the phlebotomist evaluates the patient based on criteria set forth by the Medical Director.
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