As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual includes this customizable template, Authorization for and Consent to Surgery or Special Diagnostic or Therapeutic Procedures. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

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 for and Consent to Surgery or Special Diagnostic or Therapeutic Procedures:

	AUTHORIZATION FOR AND CONSENT TO SURGERY OR SPECIAL DIAGNOSTIC OR THERAPEUTIC PROCEDURES To: name of patient Your attending physician is Dr. and your supervising physician or surgeon is Dr. . The facility maintains personnel and facilities to assist your physicians and surgeons in their performance of various surgical operations and other special diagnostic or therapeutic procedures. These operations and procedures may all involve risks of unsuccessful results, complications, injury or even death, from both known and unforeseen causes and no warranty or guarantee is made as to result or...
Second excerpt:
	...consent. If you have any questions, you are encouraged and expected to ask them. Your signature on this form indicates that: 1 you have read and understood the information provided in this form; 2 that the operation or procedure set forth above has been adequately explained to you by your physician; 3 that you have had a chance to ask questions; 4 that you have received all of the information you desire concerning the operation or procedure; and 5 that you authorize and consent to the...