Informed voluntary consent of the patient to dental treatment, sample

The use of voluntary patient consent in dentistry is based on the laws of the Russian Federation and the Constitution of the Russian Federation.

Any diagnostic, prophylactic intervention or treatment can only be carried out with informed voluntary consent signed by the patient.

Purpose of the document

Informed voluntary consent to medical intervention is drawn up when providing medical care in public and private clinics, expresses the patient's permission to provide the service.

The presence of such a permit does not deprive the dentist of the responsibility and obligation to perform work of high quality.

The permit confirms the consumer's intention to receive the service; without it, the provision of the service is impossible within the framework of the law. The legislation establishes that the consent in question is an essential condition for the provision of medical care in any clinics, both public and private. The consumer must receive information on the procedures received, all positive and negative aspects must be fully and reliably brought to his attention.

Is informed consent always required

Its registration is a necessity, without which a medical procedure is illegal. The legislation provides for only one case in which medical assistance can be provided without a signed form.

If there is a threat to the patient's life, and he cannot express his permission on his own, then medical intervention is carried out and assistance is carried out without the patient's signature.

In dental practice, there are types of informed consent, depending on the method of treatment:

• orthopedic;
• periodontic;
• therapeutic dental;
• surgical dental;
• carrying out the procedure by a hygienist;
• orthodontic.

The legislation obliges clinics to obtain a patient's permission for removal of a tooth and any other written medical intervention. If there is none, the clinic is not entitled to carry out medical intervention or diagnostics. The patient's verbal permission to receive medical services will not be enough to carry out medical intervention or research.

When and how is provided and signed

At the initial visit to the clinic, before the start of the initial examination, the administrator or registrar provides the patient with a permit form for the initial examination for review and signature. After that, the consumer signs the authorization for the required types of dental services. Before the patient puts his signature, he should be explained the purpose of the procedure, its consequences and contraindications, possible risks and complications.

The patient should sign the form after carefully reviewing the content.

Registration is carried out in printed form, certified by the signature of the patient (in the case of a minor, his legal representative), is stored in the dental clinic along with other documents of the patient, drawn up at the initial visiting (medical card, contract for services). Remains valid for the duration of the use of medical care in the selected institution.

Content

When a person goes to the clinic, he is informed about the diagnosis, diseases and necessary procedures, probable complications and consequences of refusal of medical intervention. The document under consideration contains the main provisions of such clarifications.

May contain clauses confirming that the treatment plan, possible results and risks, alternatives are explained and understood by the consumer the chosen therapy, research, medical interventions accompanying treatment, possible deterioration of well-being after medical interventions (discomfort, pain, swelling, numbness, bruising), as well as points confirming that the patient is familiar with the estimate for payment.

An obligatory clause is that the consumer is explained and understood the above information and that he permits the conduct of medical procedures or examinations in a specific dental clinic, and also that he has the right to refuse to provide services.

It contains a provision that the patient is provided with information in full and reliable form about his rights and state of health.

If the patient wants to refuse to carry out all or certain medical services, information about possible negative consequences for his health is brought to his attention.

The patient personally enters his personal data into the document - name and signature, indicates the date.

Sample informed consent for surgical treatment in dentistry:

Sample consent for a proposed dental plan:

Consent to Orthopedic Treatment:

Handling in the case of underage patients

If the patient has not reached the age of 15, then the voluntary consent to dental treatment is signed by his legal representative after the information on the health of the minor has been brought to him. the consumer of medical services, including the results of the examination, the identified diseases, the medical care plan, the risks and consequences, the required types and methods of procedures and surveys.

Legal representatives are parents, adoptive parents, trustees or guardians.

In this case, the document contains information that the legal representative has the right to receive information about the child's health, as well as can completely or partially refuse certain types of medical intervention, and that he is informed about the consequences refusal.

By signing the document, the representative agrees to carry out medical or diagnostic procedures in relation to the minor consumer. The representative personally enters into the document his full name and full name of the child, and also puts his signature, indicates the date.

Minor patients who have reached the age of 15 years have the right to independently sign an informed consent.