The General Consent Form For Medical Treatment is a foundational document used across Hong Kong's healthcare system to obtain and document informed consent from patients before medical procedures or treatments. This document is essential for compliance with Hong Kong's medical practice regulations, including the Hospital Authority Ordinance and Medical Registration Ordinance. It serves multiple purposes: protecting patient rights, ensuring informed decision-making, documenting healthcare provider disclosure, and establishing a legal record of consent. The form must be used before any significant medical intervention, containing detailed information about proposed treatments, risks, benefits, alternatives, and financial obligations. It includes specific provisions for various scenarios such as emergency treatments, guardian consent for minors or incapacitated patients, and special circumstances requiring additional documentation.
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1. Patient Information: Patient's personal details including full name, ID number, date of birth, gender, contact information, and emergency contact details
2. Healthcare Provider Information: Details of the hospital/clinic, attending physician, and other relevant healthcare providers
3. Nature of Treatment: Clear description of the proposed medical treatment, procedure, or investigation
4. Purpose and Benefits: Explanation of why the treatment is necessary and its intended benefits
5. Risks and Complications: Description of common and serious risks, potential complications, and side effects
6. Alternative Treatments: Information about available alternative treatments and consequences of non-treatment
7. Financial Information: Expected costs, insurance coverage, and payment responsibilities
8. Privacy Statement: Information about how patient data will be collected, used, and protected in accordance with the Personal Data (Privacy) Ordinance
9. Declaration and Signature: Patient's (or guardian's) acknowledgment and signature, witness signature, and date
1. Interpreter Declaration: Required when consent discussions are conducted through an interpreter, including interpreter's details and confirmation
2. Guardian Consent: Required for patients under 18 or those lacking mental capacity to consent, including guardian's details and authority
3. Blood Product Refusal: Required for patients refusing blood products for religious or personal reasons
4. Photography Consent: Required when medical photography or video recording may be part of the treatment or documentation
5. Research Participation: Required when the treatment involves research elements or data collection for research purposes
6. Teaching Consent: Required when medical students or trainees may be involved in the treatment
7. Specific Procedure Risks: Additional detailed risks section for complex procedures or high-risk treatments
1. Schedule 1: Detailed Procedure Description: Technical details of the procedure including diagrams or illustrations where applicable
2. Schedule 2: Pre-treatment Instructions: Specific preparations required before the treatment or procedure
3. Schedule 3: Post-treatment Care: Detailed instructions for post-treatment care and recovery
4. Appendix A: Patient Rights and Responsibilities: Complete list of patient rights and responsibilities under Hong Kong law
5. Appendix B: Hospital/Clinic Policies: Relevant institutional policies affecting patient care and treatment
6. Appendix C: Cost Schedule: Detailed breakdown of treatment costs and payment terms
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