The Skin Tag Removal Consent Form is an essential medical-legal document used in New Zealand healthcare settings to obtain informed consent from patients undergoing skin tag removal procedures. This document is required under the Health and Disability Commissioner Act 1994 and must be completed before any skin tag removal procedure is performed. It serves multiple purposes: documenting the patient's understanding and agreement to the procedure, outlining potential risks and complications, providing aftercare instructions, and protecting both the healthcare provider and patient by ensuring all necessary information has been communicated and understood. The form is designed to be compliant with New Zealand healthcare regulations while remaining clear and accessible to patients.

1. Patient Information: Patient's full name, date of birth, contact details, and medical record number

2. Practitioner Information: Name, qualification, and registration number of the healthcare provider performing the procedure

3. Procedure Description: Detailed explanation of the skin tag removal procedure, including methods to be used and location of skin tag(s)

4. Risks and Complications: List of potential risks, side effects, and complications associated with the procedure

5. Benefits: Expected outcomes and benefits of the procedure

6. Alternative Treatments: Information about alternative treatment options available

7. Post-Procedure Care: Instructions for wound care, recovery, and follow-up

8. Emergency Contact Information: Patient's emergency contact details and preferred contact method

9. Consent Declaration: Patient's acknowledgment of understanding and agreement to proceed with the procedure

10. Signatures: Dedicated space for patient, practitioner, and witness signatures with date