GENERIC CONSENT FORM FOR MEDICAL SURGERY / PROCEDURE / INVESTIGATION

Generic Consent Form For Medical Surgery / Procedure / Investigation

State/Province
Country
Passport/Valid ID picture (guardian) *
Maximum upload size: 67.11MB
I have received the detailed information from the physician concerning the proposed surgery , procedure , medication administration and/or investigations involved along with the following:
Type of anesthesia
This estimated cost for suture procedure only not included medicines/vaccines, follow-up wound dressing and stitch-off.
As the patient's condition reasonably precludes the granting informed consent, The above information has been explained to the responsible guardians/relatives. The cost and treatment is hereby authorized.
State why the patient is not able to given consent personally (or sign this form) *