Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Free resource · Patient-safety tools · Toolkit 25 · Policy starter pack

Informed Consent Policy

A conversation, then a signature — never the other way round

Free A4 print-ready PDF · 1 page · keep the ASF mark · scan the QR on the print to return here

Informed Consent Policy

What it is

A one-page informed consent policy template for adoption by the facility's board: principle, when written consent is required, who obtains it, capacity and representatives, language and understanding, refusal and withdrawal, records and audit. Fill in the facility name, the owner and the dates, adopt, display, train.

Where to use it

Adopt at the board; sign; display where relevant; include in induction; review every two years. Evidence for: Universal Floor — informed consent; Standard 4 — surgical safety Evidence for: Universal Floor — informed consent; Standard 4 — surgical safety Evidence for: Universal Floor — informed consent; Standard 4 — surgical safety Evidence for: Universal Floor — informed consent; Standard 4 — surgical safety Evidence for: Universal Floor — informed consent; Standard 4 — surgical safety

Translate and adapt

English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.

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The same code is printed on the tool itself. Scan it in any facility to reach this page.

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Adapted by ASF from openly licensed WHO, IAEA, AHRQ, CDC and NHS material, or ASF original — source and licence stated on every sheet. Free for any facility. Keep the ASF block.
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