Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 037 (b)
1 Appendix A
1.1 Consent forms in use in this organization
Consent forms will be printed on A3 size carbonless copy paper, so that the patient can have a
copy.
These are national consent forms which contain mandatory information. The Trust has limited
ability to add contents and change layout but cannot remove any information from the forms.
Form 1. Patient Agreement form
Form 2. Parental Agreement form for treatment for a child or young person
Form 3. Agreement form for procedures \ drug treatment that don’t require anaesthetic but
carry significant risk.
Form 4. Form for adults who lack capacity.
Each consent form includes guidance notes, printed on the reverse side of the gold copy. After
completion of the form, the gold copy should be filed in the patient’s notes and the white copy
offered to the patient or their parent / advocate / carer.