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Informed Consent Template

Informed Consent Template


The Informed Consent Template is a two page document that is used to obtain informed consent from clients to record them in photos, audio and/or video formats, and to use this media along with their clinical information in various ways.  This document may be used in conjunction with other documents usually provided to new clients, such as a Financial Agreement, Service Agreement, Intake Form etc. 


This document contains an information section that outlines the purpose of the document, the conditions of the agreement, and instructions for completing the form. This is followed by two sections, one for the recording of media, and one for how that media may be used. The form is written so that it may be filled out by either the client or a caregiver. The template is fully customisable to your requirements.


The purpose of this document is to support you in running your business on a day-to-day basis, and may assist you in meeting industy requirements and/or certifications, that may include the NDIS, your professional organisation and/or others. Please see the Disclaimer and Copyright page for full legal information. By purchasing this document, you are agreeing that you have read, understand and will abide by all disclaimer and copyright information contained on this website and within the document itself.

  • Technical Information

    Document includes cover page and instructions. Editable document in .docx format.

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