Client Consent Form

Client Consent Form

We require your consent to use your information as identified in the Needs Assessment and Risk Assessment to ensure your health, safety, and wellbeing are maintained. Please read this consent form carefully and check the applicable boxes only.

1. Consent for Care and Support

I, , give my consent to:

2. Information Sharing and Data Protection

I, , give my consent to:

3. Documentation and Record-Keeping

I, , give my consent to:

4. Monitoring and Quality Assurance

I, , give my consent to:

5. Specific Care Interventions

I, , give my consent to:

6. Advance Care Planning

I, , give my consent to:

7. Capacity to Consent

I, , give my consent to:

8. Client Awareness and Documentation

I, , confirm that I have been provided with the following documents

9. Complaints and Feedback

I, , give my consent to: