Consent Forms

Consent Forms

• Against Medical Advice (EMTALA) - Sample Form

  Informed Refusal - Sample Form

  Administration of medication - Informed Consent

  Administration of medication - Español Consentimiento informad

  Allergy injections

  Apixaban (Eliquis)

  Consent/Refusal for Blood or Blood Products

  Administration of Chemotherapy

  Corticosteroid therapy

  Corticosteroid therapy - Español

  Dabigatran (Pradaxa)

  Electronic Communication Agreement Form

  Exercise/chemical stress testing

  Flexible sigmoidoscopy

  Flexible sigmoidoscopy - Español

  Consent Form - Laparoscopic Cholecystectomy

  Consent Form - Laparoscopic Fundoplication

  Long-term anticoagulation with Warfarin

  Consent Form - Lumbar spine surgery

  Office Surgery/Procedure

  Opioids- Agreement for Long-Term Controlled Substance Therapy for Chronic Pain

  Rivaroxaban (Xarelto)

  Opioids- Consent for Chronic Opioid Therapy

  Surgery

  Surgery - Español

  Vaginal birth after Cesarean (VBAC)

  Vaginal birth after Cesarean (VBAC) - Español

  Vasectomy