Forms and Appendices

Consent to Receive Antipsychotic Medications

Consent to Reuse of Hemodialysis Filters

Release from Responsibility for Treatment of Miscarriage or Partial Abortion

Employee or Medical Staff Member Statement

Authorization for and Consent to Hysterectomy

Transfusion Information Form

Advance Health Care Directive

Considerations for Revising the Hospital’s Policy and Procedure Regarding Decision Making for Unrepresented Patients

Health Care Decisions for Unrepresented Patients

Selection of Health Care Surrogates With the Assistance of Health Care Professionals – Sample Policy

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