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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Condition to be treated' section. Select the appropriate checkbox for Screening, Surveillance, Diagnostic, or Therapeutic.
- In the 'Description of the procedure' field, provide a brief overview of the flexible sigmoidoscopy process.
- Review and acknowledge the 'Risks of the procedure' section. Ensure you understand potential complications such as tearing tissue or bleeding.
- Fill in the 'Intended results of the procedure' to clarify what outcomes are expected from this medical intervention.
- Explore alternatives listed in the form. Document any recognized alternatives and their associated risks and benefits.
- Complete sections regarding anesthesia requests and any exceptions. If none, indicate so clearly.
- Sign and date where indicated, ensuring all required signatures are obtained before finalizing your consent.
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