Sample Consent Form:
I understand that I can refuse to sign this consent form. My Name:_____ Address:_____ Home Tel.:_____ Work Tel.: _____ ... A substitute decision-maker is a person authorized under PHIPA to consent, on behalf of an individual, to disclose personal health information about the individual. Title: Sample Consent Form: Author: Paula Camacho Last modified by: Larissa Artemenko Created Date: … ................
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