/clinical/,/clinical/tools-resources/,/clinical/tools-resources/med-records/,/clinical/tools-resources/med-records/consentsagreements/,

/clinical/tools-resources/med-records/consentsagreements/

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UWHC,

Medical Records,

https://uconnect.wisc.edu/media/u-connect/clinical-hub/medical-record-forms/medical-records.jpg
Clinical Hub,Tools & Resources,Medical Record Forms

Consents/Agreements

Consents/Agreements - Clinical Hub, Tools & Resources, Medical Record Forms

How to Choose the Right Medical Record Form

HC- Will display in the title which identifies forms utilized by only UWHC employees.

MF- Will display in the title which identifies forms utilized by only UWMF employees.

If there isn’t HC or MF notated, the form is considered a dueling form that can be used.


Resources

Consent for Chemotherapy (BG4005826-DT)  

Consent for Radiation Therapy (301383-DT)  

Consent to Interventional Radiology Procedures-Lung Tumor Ablation (301820-DT)  

Document of Anatomical Gift Authorization for Organ and Tissue Donation F-43025 (State of Wisconsin Form)

Document of Anatomical Gift Authorization for Organ and Tissue Donation  F-43025 (State of Wisconsin Form) - Spanish

Donation after Circulatory Death (DCD) Consent Form (301564-DT)

 

NeuroStar Transcranial Magnetic Stimulation (TMS) Therapy Consent (301945-DT)