Updated Hysterectomy Consent Form Washington State Local Health
Hysterectomy Consent Form. Tort response form (66.32 kb) 11/15/2009 I have been told the following:
Updated Hysterectomy Consent Form Washington State Local Health
Sterilization consent form (spanish) (166.86 kb) 9/1/2021; Web hysterectomy consent form 10. To be acceptable, however, the form must include the following: Please note, beginning january 1, 2020, only the new form will be accepted. You can access the new hysterectomy consent form from the forms and tools page of our website, under the care management/claims/quality heading. I have been told the following: 4/30/2022 consent for sterilization notice: I understand that unforeseen conditions may arise and that it may be necessary to perform operations and procedures different from, or in addition to, the hysterectomy described. This box is checked if the individual was already sterile prior to surgery. This can be typed or handwritten.
• additional or different procedures during care and treatment: To be acceptable, however, the form must include the following: ____________________________________ the approximate length of time for recovery: This can be typed or handwritten. Please note, beginning january 1, 2020, only the new form will be accepted. Web hysterectomy consent form complete sections 2 and 3 only if the patient is not sterile and the hysterectomy procedure is not an emergency. You should read the form carefully and ask any questions you may have before you decide whether or. • additional or different procedures during care and treatment: Web this form is called an “informed consent form.” its purpose is to inform you about the hysterectomy procedure you are considering. The approximate length of the hospital stay: ____________________________________ the approximate cost to me of the surgeon’s fee:
