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Medical Authorisation Form For Adults
"I need a Medical Authorisation Form For Adults for my private hospital that covers both routine procedures and emergency treatments, with specific provisions for sharing medical data with our research department and affiliated clinics."
1. Patient Information: Full legal name, date of birth, NHS number, contact details
2. Healthcare Provider Details: Name and contact information of relevant healthcare providers
3. Scope of Authorization: Specific medical procedures or treatments being authorized
4. Duration of Authorization: Time period for which authorization is valid
5. Consent Declaration: Express confirmation of informed consent
6. Data Protection Statement: Information about how medical data will be used and protected
1. Emergency Contact Information: Details of who to contact in emergencies - used when patient wants to designate specific emergency contacts
2. Specific Restrictions: Any limitations on the authorization - used when patient wants to exclude certain procedures or treatments
3. Alternative Decision Maker: Details of person authorized to make decisions if patient loses capacity - used when patient wants to designate a backup decision-maker
1. Capacity Assessment Form: Standard form for recording mental capacity assessment if required
2. Privacy Notice: Detailed information about data protection rights and procedures
3. Procedure Information Sheets: Detailed information about specific procedures being authorized
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