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International Accreditation of Healthcare Facilities

Standards › Standard 41 › Forms

Form · TRM-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 41.2

Purpose

Records the evidence statement given to each patient before treatment, and the patient’s understanding.

How to complete

Checks

Check Entry
Statement given (date and practitioner) Yes
Supported elements and unsupported elements Yes
Patient understanding Yes
Given in writing (yes or no) Yes

Evidence

Reference Note
E-009 Based on the WHO Traditional Medicine Strategy 2014–2023, the WHO guidance on substandard and falsified medical products, and the ASF Hospital standard for informed consent and incident reporting.
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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References

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