Phlebotomy ; Informed Consent

Please review the following consent form carefully, which outlines the procedure, associated risks, and potential side effects. If you agree with all the information provided, kindly sign the consent form to proceed with your appointment.

Consent for Blood Collection I, hereby consent to the collection of blood for diagnostic testing and analysis. I understand that blood collection is a routine medical procedure and may involve certain risks and discomfort, including but not limited to:

1. Pain or discomfort at the site of needle insertion.

2. Bruising, swelling, or redness at the site of needle insertion.

3. Infection at the puncture site, although rare, is a potential complication.

4. Fainting or feeling lightheaded during or after blood collection.

5. Rarely, excessive bleeding or hematoma formation may occur.

I understand that the purpose of collecting my blood sample is for diagnostic testing to assist in the evaluation and management of my medical condition. I acknowledge that the procedure will be performed by a qualified healthcare professional adhering to strict safety and hygiene protocols. I have been provided with information regarding the purpose of the blood collection, the potential risks and discomforts associated with the procedure, and any relevant alternatives. I have had the opportunity to ask questions and have received satisfactory answers to my inquiries. I consent to the collection of my blood sample and understand that I have the right to withdraw my consent at any time before or during the procedure. I certify that I have read and understood the information provided, and I voluntarily consent to the collection of my blood sample for diagnostic purposes.

This consent form is valid for the specific blood collection procedure mentioned and does not imply consent for any additional procedures or treatments. It is important to ensure that the patient fully understands the information provided and consents to the procedure voluntarily

 By signing this document, I affirm that I understand and accept the following:

1. Disclosure of Medical History and Medications: I have truthfully answered all questions regarding my medical history and have disclosed any and all prescription medications, over-the-counter drugs, as well as any street or recreational drugs to the practitioner. I understand that failure to disclose relevant medical information may lead to serious complications.

2. Assumption of Responsibility: I acknowledge that I am responsible for any medical care that may be required, whether directly or indirectly related to the services provided by TWG International. If I seek medical treatment for any side effects or reactions, I understand that it will be at my own expense. I agree that the sole risk of injury or harm resulting from my participation in TWG International services rests entirely with me if I fail to disclose any health conditions, medications, or drug use in advance.

3. Representation and Warranty: I expressly represent and warrant to TWG International that I have never been diagnosed with or treated for any illnesses or conditions that may result in increased risk when participating in the services provided. I understand that TWG International does not bear responsibility for screening, diagnosing, monitoring, or providing care for such conditions.

4. Acknowledgement of Treatment Nature and Risks: I acknowledge that I have been given the opportunity to discuss the nature and purpose of the treatment, as well as the risks, complications, and consequences associated with the procedures. I understand that it is impossible to foresee or predict all possible risks and complications, and I do not expect the practitioner to anticipate or explain all associated risks.

5. Waiver of Claims: I hereby waive any and all claims related to the services provided by TWG International and agree to hold TWG International harmless regarding any complications or consequences I may experience during or following the service.

6. Confirmation of Informed Consent: I understand that this document serves as confirmation of my informed consent for blood withdrawal as ordered by the practitioner. I have been informed of any known allergies to drugs or other substances, as well as any past reactions to anaesthetics. I have also disclosed all current medications and supplements.

I am aware that other unforeseeable complications could occur. I do not expect the practitioner to anticipate and/ or explain all risk and possible complications. I rely on the practitioner to exercise judgment during my procedure. I understand the risks and benefits of the procedure, and have had the opportunity to have all my questions answered. I understand that I have the right to consent or refuse any proposed treatment at any time prior to its performance.

My signature on this form affirms that I have given my consent to Intramuscular Injection with any different or further procedures which, in the opinion of my practitioner or others associated with this practice, may be indicated. My signature below constitutes my acknowledgement that:1. I have read, understood and fully agree to the foregoing and I have received and read the pre and post care treatment information document.2. I give consent to the proposed treatment process that has been satisfactorily explained to me and I have all the information that I desire.3. I hereby give my consent and authorisation voluntarily and release TWG International of any claims that I have or may have in the future in connection with the described treatment.

Informed Consent for Intramuscular Injection Administration Services hereby acknowledge that I have been fully informed of the risks, benefits, and consequences associated with participating in the intramuscular injection administration services provided by TWG International. By signing this document, I affirm that I understand and accept the following:

GDPR & DATA PROTECTION:

I understand that my information will be kept strictly confidential and will not be shared with anyone but with TWG International. By signing below I am agreeing to information being shared with TWG International. My signature on this form affirms that I have given my consent to IV therapy with any different or further procedures which, in the opinion of my physician(s) or other associated with this practice, may be indicated.

My signature below constitutes my acknowledgement that:

(1) I have read, understood and fully agree to the foregoing and I have received and read the pre and post care treatment information document.

(2) Give consent to the proposed treatment process that has been satisfactorily explained to me and I have all the information that I desire.

(3) I hereby give my consent and authorisation voluntarily and release the establishment and its agents of any claims that I have or may have in the future in connection with the described treatment.

I have answered these questions to the best of my understanding *