Miscellaneous Informed Consent Samples
Authorization for Use or Disclosure of Health Information
Authorization to Disclose Protected Health Information Specifically Photographs/Films/Videos
Elements of an Informed Consent (Procedure Common and Technical Names)
Off-Label Use of (Name of Device)
Off-Label Use of (Name of Prescription Drugs)
Refusal to Consent to Treatment, Medication, or Testing
Temporary Authorization (Minor)