| (a) The Texas Medical Disclosure Panel adopts the following
form which shall be used by a physician or health care provider to
inform a patient or person authorized to consent for the patient of
the possible risks and hazards involved in the medical treatments
and surgical procedures named in the form. Except for the procedures
shown in subsection (b) of this section, the following form shall
be used for the medical treatments and surgical procedures described
in Chapter 602 of this title (relating to Procedures Requiring Full
Disclosure of Specific Risks and Hazards--List A). Providers shall
have the form available in both English and Spanish language versions.
Both versions are available from the Health and Human Services Commission.
(1) English form.
Attached Graphic
(2) Spanish form.
Attached Graphic
(b) Informed consent for:
(1) radiation therapy shall be provided in accordance
with §604.2 of this chapter (relating to Disclosure and Consent
Form for Radiation Therapy);
(2) electroconvulsive therapy shall be provided in
accordance with §604.3 of this chapter (relating to Informed
Consent for Electroconvulsive Therapy);
(3) hysterectomy procedures shall be provided in accordance
with §604.4 of this chapter (relating to Disclosure and Consent
Form for Hysterectomy); and
(4) anesthesia and/or perioperative pain management
(analgesia) procedures shall be in accordance with §604.5 of
this chapter (relating to Disclosure and Consent Form for Anesthesia
and/or Perioperative Pain Management (Analgesia)).
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