This customizable document, Authorization to Treat, is taken from MCN Healthcare’s Home Care Corporate Compliance Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Authorization to Treat:

	POLICY: An Authorization to Treat shall be obtained on admission to this organization from all patients receiving high-tech, high-risk, and clinical services. This includes: apnea monitors, ventilators, medications, intravenous therapies, physical assessments, and clinical monitoring. PURPOSE: To inform patients of the potential risks associated with, and to obtain written informed consent for, high-tech, high-risk and clinical services. PROCEDURE: Instruct the patient/caregiver about the potential risk associated with the prescribed equipment, therapeutic or clinical services. Provide a...
Second excerpt:
	...or clinical services. Provide a written list of these potential risks to the patient/caregiver. Obtain the patient's/caregiver's signature on the form. File the original form in the patient's home care record. SUBJECT: AUTHORIZATION TO TREAT REFERENCE #4019 PAGE: 1 DEPARTMENT: HOME CARE OF: 1 EFFECTIVE: APPROVED BY: REVISED: ...