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Informed Consent
Informed Consent
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Created by Qualaris Staff
Critical Access Hospital
Quality
Table of Contents
Audit Form
Audit Form
Informed Consent
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Type of insurance
Medicare
Medicare HMO
Informed Consent Checklist
Mark all as...
Is there a signature on admission on the form?
Yes
No
Signature upon discharge?
Yes
No
N/A
January
February
March
April
May
Sun
Mon
Tue
Wed
Thu
Fri
Sat
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30
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