400
This form properly executed has the following information:
Name of the patient or legal guardian,
Name of the hospital,
A legal document that contains: name of specific procedure(s) or medical treatment,
Name of responsible practitioner who is performing the procedure or administering the medical treatment, signature of the patient or legar representative, date and time signed by patient or legal representative, statement including anticipated benefits, material risk, and alternative therapies was explained to the patient.
What is the consent form?