Permission To Treat Form

Permission To Treat Form Template for England and Wales

A Permission to Treat Form is a legal document used in England and Wales that establishes informed consent between a patient (or their legal representative) and a healthcare provider for medical treatment. It documents the patient's understanding of proposed procedures, associated risks, and benefits, while ensuring compliance with UK healthcare legislation, including the Mental Capacity Act 2005 and data protection requirements.

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What is a Permission To Treat Form?

The Permission To Treat Form serves as a crucial legal safeguard in healthcare settings across England and Wales. This document is essential when any medical procedure or treatment is proposed, ensuring that patients provide informed consent and understand the nature, risks, and benefits of their treatment. It reflects requirements set forth by UK healthcare legislation and common law principles, particularly following the Montgomery v Lanarkshire precedent regarding informed consent. The form typically includes patient details, treatment information, risks and benefits disclosure, and appropriate signature fields for valid authorization.

What sections should be included in a Permission To Treat Form?

1. Patient Information: Basic personal and contact details of the patient including full name, date of birth, address, and contact numbers

2. Healthcare Provider Details: Information about the treating facility, healthcare practitioners, and department/unit details

3. Consent Declaration: Explicit statement of consent for treatment, including acknowledgment of information received and understanding of risks

4. Risks and Benefits: Overview of treatment risks, potential complications, and expected benefits of the proposed treatment

5. Signature Block: Space for patient/guardian signature, date, and witness signatures where required

What sections are optional to include in a Permission To Treat Form?

1. Emergency Contact: Secondary contact information for emergencies - recommended for procedures with recovery period

2. Advance Directives: Patient's specific treatment preferences and any existing advance decisions - for complex procedures or ongoing treatment

3. Insurance Information: Details of health insurance coverage and payment arrangements - primarily for private healthcare settings

What schedules should be included in a Permission To Treat Form?

1. Procedure Information Sheet: Detailed information about specific procedure including preparation instructions and what to expect

2. Post-Treatment Care Instructions: Guidelines for aftercare, recovery process, and follow-up appointments

3. Medical History Form: Comprehensive form capturing patient's medical history, allergies, and current medications

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Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

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Assent Form

A legal template under English and Welsh law used to obtain formal agreement from individuals who may not have full legal capacity to provide consent.

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Download a Standard Permission To Treat Form

Review your own Permission To Treat Form

What is a Permission To Treat Form?

What sections should be included in a Permission To Treat Form?

What sections are optional to include in a Permission To Treat Form?

What schedules should be included in a Permission To Treat Form?

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Alex Denne

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