Consent Type

Relation/CHD: Release of Information/MR / Authorization to Disclosure Protected Health Information
Medical Procedure (invasive)
Acknowledge Receipt of Privacy Notice
Abortion
Abortion/Laminaria
Accutane _ Information
Accutane _ Woman
Advanced Beneficiary Notice
AFP (Alpha Fetoprotein) Screening
Amniocentesis (consent & refusal)
Anatomical Gift (organ donation)
Anesthesia - Complications
Anesthesia - Questionnaire
Angiogram
Angioplasty
Anticancer Drugs
Antipsychotic Medications
Arthrogram
Autopsy
AZT Therapy
Biliary Drainage
Biliary Stone Extraction
Biopsy
Bleeding Time Test
Bronchogram
Cardiac Catheterization
Coronary Angiography
" """" w/o Surgery Capability"
;Cataract Op/Implant of FDA Aprvd Lens
Cataract Op/Implant of Investigational Lens
Cataract Surgery
Cholera Immunization
Cholesterol Screening
Circumcision _ Newborn
Colonoscopy
Contact Lenses
CT Scan - Cervical & Lumbar
CT Scan w/ IV Contrast Media into Vein
CVS (Chorionic Villus) Sampling
Cystospy
Disclosure of Protected Health Information to Family/Friends
D & C and Conization
Dacryocystogram
Diagnostic Isotope
Drainage of an Abscess
Drug Screening
Electronic Monitoring of Labor - Refusal
Endometrial Biopsy
Endoscopy/Sclerosis of Esophageal Varices
ERCP
Exposure to reportable Communicable Disease
External Version
Fluorescein Angioscopy
Hepatitis B - Consent/Declination
Herniogram
HIV Test - Consent Refusal
HIV Test - Disclosure
HIV Test - Prenatal
Home IV Treatment Program
Home Parenteral Treatment Program
Hysterectomy
Hysterosalpingogram
Injection Slip/ Consent
Intrauterine Device
Intrauterine Device/Sterilization
Intravascular Infusion of Streptokinase/Urokinase
Intravenous Cholangiogram
Intravenous Digital Angiography
Iodine Administration
ISG
IVP
Laser Photocoagulation
Laser treatment
Lithium Carbonate
Liver Biopsy
Lumbar Puncture
Lymphangiogram
MAO Inhibitors
Med, Psych, and/or Drug/Alcohol
Medical Treatment - Refusal
Morning-after Pill
MRI _ Adult
MRI _ Pediatric
Myelogram
Needle Biopsy
Needle Biopsy of Lung
Newborn Treatment and Release
Norplant Subdermal Birth Control Implant
Operations, Anesthesia, Transfusions
Oral Contraceptives
Organ Donation
Patient Permits, Consents
Patient Treatment Permit, Release & Admission
Penile Injections
Percutaneous Nephrostomy
Percutaneous Transhepatic Cholangiogram
Photographs
Photographs - Employee
Photographs - Medical Research
Photographs - news Media
Psychiatric Admission - Next of Kin
Psychiatric Information During Hospital Stay
Public Release of Information
Radiologic Procedure
Refusal of Treatment
Release of Body
Release of Limb
Rh Immune Globulin
Rights of Medical Research Participants
Request to Restrict Access/Disclosure to Medical Record/Protected Health Information
Request for Remain Anonymous
Seat Belt Exemption
Sialogram
Voiding Cystogram
Sigmoidoscopy
Sterilization - Anesthesia & Medical Services
Sterilization -Federally Funded
Sterilization _ Female
Sterilization - Laparoscopy/Pomeroy
Sterilization - Non-Federally Funded
Sterilization - Secondary
Tranquilizers
Transfer - Acknowledgement
Transfer _ Authorization
Transfer Certification - Physician
Transfer/Discharge Request
Transfer for Non-Medical Reasons
Transfer - Interfaculty Neonatal
Transfer Refusal
Transfer Refusal of Further Treatment
Treadmill & EKG
Treadmill, Thallium-201
Typhoid
Use of Investigational Device
Use of Investigational Drug
Venogram
Videotape