Related links
Indiana University Informed Consent Statement [and
Signing this form wont take away any of your legal rights if you are injured. [If a source of funds for payment of treatment costs is NOT available, insert the
Learn more
Health Information System (HIS) Evaluation Checklist
If written, request samples of the informed consent forms which are used. Check at least 8 register entries at random. Request to see where they are stored
Learn more
BR202124
Jun 15, 2021 consent form. Effective for dates of service (DOS) on or after July 15, 2021, the codes in Table 3 will be removed from Table 2 ICD-10.
Learn more