Which form is used to obtain consent for treatment services?

• A. Payment Agreement
• B. Drug Screen Authorization
• C. Email Authorization Form
• D. Treatment Consent Form

Answer: (D)

Informed consent for treatment is about documenting that a patient understands and agrees to the proposed care before it begins. The form used to obtain this assent is the Treatment Consent Form, because it captures the patient’s explicit agreement to proceed with the specific treatment services, after they’ve been informed about the risks, benefits, and alternatives and had a chance to ask questions. It also records that the patient understands what will be done, who will perform it, and that they know they can ask for clarification or withdraw consent at any time. This protects the patient’s autonomy and the provider’s ethical and legal duties to obtain voluntary, knowledgeable consent prior to treatment. Other forms serve different purposes: a Payment Agreement handles financial arrangements; a Drug Screen Authorization pertains to consent for drug testing; an Email Authorization Form covers consent to receive information electronically, not consent to treatment.