Literature Review on Provision of Appropriate and Accessible ...

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Appendices
Appendix A – Consent Form 4
Form 4
Good Practice in Consent Implementation Guide, Department of Health,
UK
<strong>Literature</strong> <strong>Review</strong> on Provision of Appropriate and Accessible
Support to People with an Intellectual Disability who are
Experiencing Crisis Pregnancy
Consent Form 4
Form for adults who are unable to consent to investigation or
treatment to be retained in patient’s notes
Patient details (or pre-printed label)
Patient’s surname/family name
Patient’s first names
Date of birth
Responsible health professional
Job title
NHS number (or other idetifer)
Male
Female
Special requirements
Male
Male
Female
Female
(eg other language/other communication method)