Standards › Standard 16 › Forms
Form · PED-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 16.2
Purpose
Records the consent given by the legal guardian, and the child’s involvement and views, as their age allows.
How to complete
- Confirm the legal guardian and record their name and relation.
- Record the child’s involvement and views, as their age allows.
- Record the consent given and its date.
Checks
| Check | Entry |
|---|---|
| Legal guardian (name and relation) | Yes |
| Child’s age and involvement (as age allows) | Yes |
| Child’s views recorded | Yes |
| Consent given by guardian (yes or no) | Yes |
| Date and clinician | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Pocket book of hospital care for children (2013) and the UN Convention on the Rights of the Child (1989). |
| 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 |
E-learning for this document
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)