The physician shall note in the patient’s clinical record the date of the informed consent consultation, the matters discussed, and the authorization to treat given by the patient. A standardized form may be used only as a written acknowledgment by the patient that the consultation occurred and that consent was given. A form cannot replace the face-to-face discussion between physician and patient contemplated by this guideline.

 

If the patient is a minor or an incompetent adult, the informed consent consultation shall include the patient’s parent or legal guardian."

 

HNS requires that written informed consent be obtained from the patient prior to treatment and requires evidence of the informed consent via a form signed by the patient. This form must be maintained in the patient’s health care record.