This box requires adding any of the Treatment’s complications, risks, or benefits. While you’ll have a section covering you generally, it’s better to add information on what you know might happen. This knowledge is a significant part of the Patient giving proper consent.
I understand and accept that medical and surgical treatments and procedures involve some risks. These risks include, without limitation, allergic reactions, blood clots, bleeding, scarring, infections, and adverse side effects of drugs.
I am aware that in the practice of medicine, other unexpected complications and risks my Doctor didn’t discuss with me might occur. I understand the proposed treatments might reveal unforeseen conditions. These conditions might result in the processed treatments changing.
I understand what my Doctor and other medical practitioners discussed with me. I further understand the contents of this medical liability waiver form. I received the opportunity to ask questions and receive satisfactory answers.
I authorize my physician, hospital, or healthcare provider to release and furnish the required parties with medical records or other information about the above-listed condition. But, I understand that the institution will keep all confidential information private.
I am voluntarily participating in this Treatment. I assume all known and unknown risks of my participation in these treatments and procedures. I further agree to indemnify, defend, and hold the medical or healthcare institute and its practitioners harmless against all claims and suits of action against liability, compensation, damages, or otherwise brought to me, including attorney fees and related costs.