Medical Permission Form Template for Switzerland

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Key Requirements PROMPT example:

Medical Permission Form

I need a Medical Permission Form in English and German for a private Swiss hospital in Zurich, specifically for experimental cancer treatments, including provisions for clinical trial participation and data sharing with international research partners.

Document background

The Medical Permission Form is a crucial document used in Swiss healthcare settings to obtain and document informed consent from patients before medical procedures or treatments. This document is required under Swiss federal and cantonal healthcare laws, particularly when performing surgical procedures, administering certain treatments, or conducting medical research. The form must comply with the Swiss Civil Code, Federal Act on Research involving Human Beings, and data protection regulations. It serves multiple purposes: documenting patient consent, protecting healthcare providers from liability, ensuring patients are fully informed about procedures, and maintaining compliance with Swiss healthcare regulations. The document typically includes detailed information about proposed procedures, risks, benefits, alternatives, and data handling practices, and may need to be provided in multiple Swiss national languages depending on the patient's language preferences.

Suggested Sections

1. Patient Information: Full legal name, date of birth, address, insurance details, and contact information of the patient

2. Healthcare Provider Details: Name and contact information of the medical facility, treating physician(s), and department

3. Procedure/Treatment Description: Detailed description of the proposed medical procedure or treatment in clear, non-technical language

4. Risks and Benefits: Comprehensive explanation of potential risks, complications, and expected benefits of the procedure

5. Alternative Treatments: Description of alternative treatment options and consequences of non-treatment

6. Consent Declaration: Clear statement of consent with confirmation of understanding and voluntary agreement

7. Data Protection Notice: Information about how medical data will be collected, stored, and used in compliance with FADP

8. Signature Section: Space for patient/guardian signature, date, and witness signature if required

Optional Sections

1. Emergency Contact Information: Details of emergency contacts - required for invasive procedures or treatments with significant risks

2. Interpreter Declaration: Required when the patient's primary language differs from the document language

3. Legal Representative Authorization: Required for minors or patients lacking capacity to consent

4. Research Participation Consent: Required if the procedure is part of a medical research study

5. Blood Product Authorization: Required for procedures that may need blood transfusions

6. Photography/Recording Consent: Required if the procedure may be photographed or recorded for medical documentation

7. Cost Information: Details of treatment costs and insurance coverage - required for non-standard or experimental treatments

Suggested Schedules

1. Procedure Information Sheet: Detailed medical information about the specific procedure in technical terms

2. Post-Procedure Care Instructions: Detailed instructions for post-procedure care and recovery

3. Medication List: List of current medications and potential interactions

4. Medical History Form: Comprehensive medical history including allergies and previous procedures

5. Insurance Coverage Details: Specific details about insurance coverage and payment requirements

6. Patient Rights Document: Summary of patient rights under Swiss healthcare law

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Medical Services

Hospital Administration

Insurance

Clinical Research

Pharmaceutical

Medical Devices

Healthcare Technology

Medical Education

Legal Services

Relevant Teams

Legal

Compliance

Medical Administration

Patient Relations

Quality Assurance

Risk Management

Medical Records

Clinical Operations

Healthcare Documentation

Patient Safety

Medical Ethics

Relevant Roles

Medical Director

Chief Medical Officer

Hospital Administrator

Legal Counsel

Compliance Officer

Risk Manager

Quality Assurance Manager

Patient Relations Manager

Medical Records Manager

Clinical Research Coordinator

Healthcare Privacy Officer

Medical Practice Manager

Physician

Nurse Manager

Healthcare Documentation Specialist

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