GENERAL CONSENT FORM

GENERAL CONSENT FORM

I am a *
State why the patient is not able to given consent personally (or to sign this form) *
I hereby agree to be treated in BNH hospital and give consent to my physician/dentist and assigned medical team, nurses and BNH hospital's staff for examination, medical treatment and other medical services which are considered necessary and required for the best interests of my medical health. I would like to confirm that I have been clearly informed about the treatment. In addition, I have already received complete and current information regarding diagnosis, prognosis, medication, investigation, necessity and result of treatment including any risks and complications that may arise in my case. This consent shall cover any necessary acts which are required to be performed as emergency treatment.
I hereby acknowledge that I have read the above Consent and patient's rights information, understand their meaning and terms. I have therefore placed my signature below to enable the medical team to provide the care and treatment.