Get Consent Form

This guide provides clear and supportive instructions for filling out the Consent Form online. By following these steps, you will ensure a complete and accurate submission of your consent for treatment.

Follow the steps to complete your Consent Form online:

1. Click the ‘Get Form’ button to access the Consent Form for online completion.
2. Begin by entering your name and account number at the top of the form. This identifies your record accurately.
3. Review the Introduction section carefully and initial where indicated to confirm your understanding of the treatment described.
4. Proceed to the Alternative Treatments section, read through the options presented, and initial to acknowledge the alternatives.
5. In the Risks section, ensure you fully understand the potential risks involved with the procedure. Initial each point after reading.
6. Next, in the Possible Complications section, mark your initials next to each complication listed to confirm you are aware.
7. Continue to the Patient Responsibility for Costs section and initial to accept financial responsibility for the procedure.
8. In the Off Label section, initial to understand that some uses of the treatment are beyond standard FDA approval.
9. Read through the Joint Decision Making section and initial, indicating that you recognize the importance of collaboration with your provider.
10. Finally, in the Medical Record section, initial to agree that this document will be part of your medical record.
11. Complete the Patient's Statement of Acceptance and Understanding by signing and dating the form at the bottom.
12. Once you have filled out all necessary sections, you may save changes, download, or print the form for your records.

Complete your Consent Form online today for a smoother treatment process.