Common Contracts

1 similar Consent Form contracts

Agreement To Treatment
Consent Form • February 2nd, 2021

This section is completed with you by the anaesthetist usually on the day of surgery Proposed anaesthesia: General � Local � Regional � Spinal/epidural � Sedation � (Please tick)Other: Risk discussionSore throat � Nausea/vomiting � Dental damage � Allergic reaction � Itch � Blood clots �Block failure � Nerve damage � Headache � Hypotension � Rare serious events � Pain � Bleeding � All of the above discussed � Pain relief planOral � Intravenous � PCA � Epidural � Spinal � Wound catheter � PR � Other �Discussion notes:

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