Informed Consent-State of North CarolinaMagMutual 2025

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  1. Click ‘Get Form’ to open the Informed Consent-State of North CarolinaMagMutual document in the editor.
  2. Begin by filling in the patient identification section at the top, including the patient's name and ID card number.
  3. Review the procedure description carefully. Ensure you understand what respiratory endoscopy entails, including preparation and sedation requirements.
  4. In the informed consent section, read through the risks and aftercare instructions. Initial each point to confirm your understanding.
  5. Sign and date where indicated, ensuring that both the patient and accompanying adult complete their respective sections.
  6. If applicable, have the responsible adult sign the Statement of Commitment, confirming their role in monitoring post-procedure care.
  7. Finally, ensure that all signatures are clear and legible before saving or exporting your completed form for submission.

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The five key elements of consent are: the individual gives consent voluntarily. the individual is adequately informed before giving consent. the consent is specific. the consent is current. the individual has the capacity to understand and communicate their consent.
Informed consent must include the patient being competent and understanding the options, risks, and benefits. For pediatric patients, parental consent, or consent from a surrogate, must be obtained for medical procedures, treatment, or research.
Elements of Informed Consent Title of the Study. Names and Affiliations of the Primary Investigator. If a student is conducting the study, state the students information first. Purpose of the Study. Subject Selection Criteria. Study Procedures. Potential Risks and Discomforts. Potential Benefits. Cost and Compensation.
In general, one or both parents or a guardian must be provided with the information ordinarily required for informed consent, so that they may decide whether to allow the child to participate, and children capable of assent must also express their willingness to participate.
A treating medical professional must tell you the name and nature of your condition. Under informed consent law, healthcare clinicians are prohibited from withholding this information.