Consent Forms Expand All Collapse All 6500 Disclosure & Consent, Medical & Surgical Procedures - Generic 6500 - English6500 - Spanish 6501 Disclosure & Consent, Medical & Surgical Procedures - Anesthesia 6501 - English 6501 - Spanish 6501B Disclosure & Consent, Medical & Surgical Procedures - Sedation 6501B - English 6501B - Spanish 6501BB Disclosure & Consent, Medical & Surgical Procedures - Blocker Burn Unit Sedation 6501BB - English 6501BB - Spanish 6502 Disclosure & Consent, Medical & Surgical Procedures - Cardiovascular System 6502 - English 6502 - Spanish 6503 Disclosure & Consent, Medical & Surgical Procedures - Digestive System 6503 - English 6503 - Spanish 6504 Disclosure & Consent, Medical & Surgical Procedures - Ear Treatments 6504 - English 6504 - Spanish 6505 Disclosure & Consent, Medical & Surgical Procedures - Endocrine System 6505 - English 6505 - Spanish 6506 Disclosure & Consent, Medical & Surgical Procedures - Eye Treatments 6506 - English 6506 - Spanish 6508 Disclosure & Consent, Medical & Surgical Procedures - Hematic & Lymphatic 6508 - English 6508 - Spanish 6509 Disclosure & Consent, Medical & Surgical Procedures - Non Cosmetic Breast Surgery 6509 - English 6509 - Spanish 6510 Disclosure & Consent, Medical & Surgical Procedures - Male Genital 6510 - English 6510 - Spanish 6510A Disclosure & Consent, Medical & Surgical Procedures - Male Genital CIRCUMCISION 6510A - English 6510A - Spanish 6512 Disclosure & Consent, Medical & Surgical Procedures - Musculoskeletal System 6512 - English 6512 - Spanish 6513 Disclosure & Consent, Medical & Surgical Procedures - Nervous System 6513 - English 6513 - Spanish 6514 Disclosure & Consent, Medical & Surgical Procedures - Radiology 6514 - English 6514 - Spanish 6515 Disclosure & Consent, Medical & Surgical Procedures - Respiratory System 6515 - English 6515 - Spanish 6516 Disclosure & Consent, Medical & Surgical Procedures - Urinary System 6516 - English 6516 - Spanish 6516A Disclosure & Consent, Medical & Surgical Procedures - Urinary VALID 1 YR 6516A - English 6516A - Spanish 6518 Disclosure & Consent, Medical & Surgical Procedures - Radiation Therapy 6518 - English 6518 - Spanish 6519 Disclosure & Consent, Medical & Surgical Procedures - Endoscopic System 6519 - English 6519 - Spanish 6521 Disclosure & Consent, Medical & Surgical Procedures - Hysterectomy 6521 - English 6521 - Spanish 6522 Disclosure & Consent, Medical & Surgical Procedures - Maternity/Female Genital 6522 - English 6522 - Spanish 6522B Disclosure & Consent, Medical & Surgical Procedures - Maternity/Female Genital PREGNANCY 6522B - English 6522B - Spanish 6523 Disclosure & Consent, Medical & Surgical Procedures - Dermatologic Surgery 6523 - English 6523 - Spanish 6524 Disclosure & Consent, Medical & Surgical Procedures - Epilepsy Monitoring 6524 - English 6524 - Spanish 6525 Disclosure & Consent, Medical & Surgical Procedures - Kidney/Pancreas 6525 - English 6525 - Spanish 6527 Disclosure & Consent, Medical & Surgical Procedures - Genetic Amniocentesis 6527 - English 6527 - Spanish 6528 Disclosure & Consent, Medical & Surgical Procedures - Gastroenterology/Endo 6528 - English 6528 - Spanish 6529 Disclosure & Consent, Medical & Surgical Procedures - Pain Management 6529 - English 6529 - Spanish 6531 Disclosure & Consent, Medical & Surgical Procedures - Ophthalmology 6531 - English 6531 - Spanish 6532 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology OR 6532 - English 6532 - Spanish 6533 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Head/Neck OR 6533 - English 6533 - Spanish 6534 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Sinus OR 6534 - English 6534 - Spanish 6535 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Voice Proc 6535 - English 6535 - Spanish 6536 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Ear Procedure 6536 - English 6536 - Spanish 6537 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Head/Neck Clinic 6537 - English 6537 - Spanish 6538 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Sinus Clinic 6538 - English 6538 - Spanish 6539 Disclosure & Consent, Medical & Surgical Procedures - Otolaryngology Voice Clinic 6539 - English 6539 - Spanish 6540 Disclosure & Consent, Medical & Surgical Procedures - Heart Transplant 6540 - English 6540 - Spanish 6541 Disclosure & Consent, Medical & Surgical Procedures - Pedi ENT 6541 - English 6541 - Spanish 6542 Disclosure & Consent, Medical & Surgical Procedures - Hyperbaric Oxygen Therapy 6542 - English 6542 - Spanish 6543 Disclosure & Consent, Medical & Surgical Procedures - Hyperbaric Oxygenation 6543 - English 6543 - Spanish 6544 Disclosure & Consent, Medical & Surgical Procedures - Pulmonary 6544 - English 6544 - Spanish 6545 Disclosure & Consent, Medical & Surgical Procedures - Liver Transplant 6545 - English 6545 - Spanish 6546 Disclosure & Consent, Medical & Surgical Procedures - Exercise Stress Test 6546 - English 6546 - Spanish 6547 Disclosure & Consent, Medical & Surgical Procedures - Ultrasound - MRI Guided Biopsy or Aspiration 6547 - English 6547 - Spanish 6548 Consent to Treatment with Psychoactive Medication 6548 - English 6548 - Spanish 6549 Disclosure & Consent, Medical & Surgical Procedures - Blood Transfusion 6549 - English 6549 - Spanish 6549A Disclosure & Consent Transfusion for Blood/Blood Components 1 yr Consent 6549A - English 6549A - Spanish 6549COVID Disclosure & Consent, Medical & Surgical Procedures - Transfusion of COVID-19 Convalescent Plasma 6549COVID - English 6549COVID - Spanish 6550 Disclosure & Consent, Medical & Surgical Procedures - Oral and Maxillofacial 6550 - English 6550 - Spanish 6551 Consent to Resuscitative Measures/Transfer 6551 - English 6551 - Spanish 6552 Disclosure & Consent, Medical & Surgical Procedures - Dobutamine Stress Echo 6552 - English 6552 - Spanish 6553 Disclosure & Consent, Medical & Surgical Procedures - Removal of Nexplanon 6553 - English 6553 - Spanish 6554 Disclosure & Consent, for Chemotherapy/Biotherapy Treatments 6554 - English 6554 - Spanish 6555 Disclosure & Consent, Medical & Surgical Procedures - Female Genital Operative Consent (No planned Hysterectomy) 6555 - English 6555 - Spanish 6556 Disclosure & Consent, Medical & Surgical Procedures - Female Genital Office Consent 6556 - English 6556 - Spanish 6556A Disclosure & Consent, Medical & Surgical Procedures - Female Genital IUD INSERTION 6556A - English 6556A - Spanish 6556B Disclosure & Consent, Medical & Surgical Procedures - Female Genital IUD REMOVAL 6556B - English 6556B - Spanish 6557 Disclosure & Consent, Medical & Surgical Procedures - Colorectal Surgery 6557 - English 6557 - Spanish 6558 Disclosure & Consent, Medical & Surgical Procedures - Pathology 6558 - English 6558 - Spanish 6559 Disclosure & Consent, Medical & Surgical Procedures - Nuclear Medicine 6559 - English 6559 - Spanish 8094 Refusal/Consent for Blood Products 8094 - English 8094 - Spanish 8161 Consent and Authorization to Donate Tissue for Medical Research 8161 - English 8161 - 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