PATIENT CONSENT FOR VISITOR OBSERVER IN THE OPERATING ROOM 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field for the patient, followed by the name of your surgeon.
3. In the next section, input the name of the visitor who will be observing during your surgery.
4. Review the consent statement carefully. This section outlines that you are releasing Sarasota Memorial Hospital and its staff from any liability related to the visitor's presence.
5. Sign and date the form where indicated. If applicable, a parent or legally authorized representative must also sign if you are a minor.
6. Ensure a witness, who must be an adult, signs and prints their name along with the date.

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