Promoting Excellence : Informed Consent Form (PhoenixCare)

Name:
PhoenixCare Informed Consent Form

Definition:
This describes the PhoenixCare program to inform and invite patient participation.

Category:
Organizational Tools - Programmatic Material

Source:
PhoenixCare Hospice of the Valley
1510 East Flower Street
Phoenix, AZ 85014

Contact:
Barbara Volk-Craft
[email protected]

How the grantee used this instrument:
This form, approved by a local Institutional Review Board, provided informed consent of individuals into a randomized clinical trial.

Keywords:
agreement to participate, patient consent, research subject

To use this tool:
You may print and copy this tool for your own use via the link under "To view this tool." Please credit source.

References:
Developed specifically for this project by the project team.

To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
pdf PDF 20 KB / 5 pages

Posted June 26, 2003

Hospice of the Valley/PhoenixCare overview page


# HOV7, type:programmatic_material


Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.

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