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Immunotherapy Safety for the Primary Care ... - U.S. Coast Guard

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J ALLERGY CLIN IMMUNOL<br />

VOLUME 120, NUMBER 3<br />

Cox et al S83<br />

APPENDIX 13. Allergen immuno<strong>the</strong>rapy in<strong>for</strong>med consent<br />

d Documentation that in<strong>for</strong>med consent has been obtained. d In<strong>for</strong>med consent is a process by which a patient and physician<br />

discuss various aspects of a proposed treatment. Although many<br />

allergists use a written consent <strong>for</strong>m be<strong>for</strong>e starting immuno<strong>the</strong>rapy,<br />

a reasonable alternative is simply to document <strong>the</strong> consent<br />

process in <strong>the</strong> medical record. The consent process usually consists<br />

of <strong>the</strong> following:<br />

d what <strong>the</strong> treatment is and alternatives to <strong>the</strong> treatment;<br />

d potential benefits to be expected from <strong>the</strong> treatment;<br />

d potential risks, including a fair description of how frequently<br />

<strong>the</strong>y are likely to occur, if known, including <strong>the</strong> possibility<br />

of death;<br />

d costs associated with immuno<strong>the</strong>rapy and who pays <strong>for</strong> <strong>the</strong>m;<br />

d <strong>the</strong> anticipated duration of treatment; and<br />

d any specific office policies that affect treatment.<br />

d Since <strong>the</strong> in<strong>for</strong>med consent process is complex and details might<br />

vary from state to state, each allergist/immunologist should decide<br />

how <strong>the</strong>y should document in<strong>for</strong>med consent. Legal advice<br />

might be useful.

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