Medical Permission Form - United Arab Emirates

Medical Permission Form for United Arab Emirates

Medical Permission Form Template for United Arab Emirates

A comprehensive medical permission form compliant with UAE healthcare regulations, particularly Federal Decree-Law No. 4 of 2016 on Medical Liability. This document serves as a legal record of informed consent between healthcare providers and patients, detailing proposed medical procedures, associated risks, and benefits. The form includes mandatory bilingual content (Arabic and English) and incorporates specific UAE healthcare compliance requirements, patient rights provisions, and medical liability considerations. It provides essential protection for both healthcare providers and patients while ensuring transparent communication of medical procedures and associated risks.

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What is a Medical Permission Form?

The Medical Permission Form is a crucial legal document required under UAE healthcare regulations, particularly aligned with Federal Decree-Law No. 4 of 2016 on Medical Liability and related healthcare legislation. This document is essential for any medical procedure or treatment in UAE healthcare facilities, serving as evidence of informed consent and protecting both healthcare providers and patients. The form must be completed prior to any non-emergency medical procedure and requires comprehensive documentation of the proposed treatment, risks, benefits, and alternatives. It must be provided in both Arabic and English, with provisions for translation into other languages when necessary. The document includes specific sections addressing UAE healthcare compliance requirements, emergency provisions, and special considerations for various patient categories including minors and those requiring guardian consent.

What sections should be included in a Medical Permission Form?

1. Patient Information: Complete identification details of the patient including name, Emirates ID, date of birth, and contact information

2. Healthcare Provider Information: Details of the medical facility and primary healthcare provider(s) involved

3. Procedure Details: Detailed description of the proposed medical procedure, treatment, or intervention

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 refusing treatment

6. Consent Declaration: Clear statement of consent, confirming the patient's understanding and voluntary agreement

7. Emergency Provisions: Authorization for emergency procedures if necessary during the primary procedure

8. Signatures: Dedicated section for patient/guardian signature, witness signature, and healthcare provider signature with dates

What sections are optional to include in a Medical Permission Form?

1. Interpreter Declaration: Required when the patient's primary language is neither Arabic nor English, including interpreter's confirmation of accurate translation

2. Guardian Authorization: Required for minors or patients lacking capacity to provide consent, including guardian's legal authority

3. Photography Consent: Optional authorization for medical photography or recording for documentation, education, or research purposes

4. Research Participation: Required when the procedure is part of a research study or clinical trial

5. Blood Transfusion Specific Consent: Required for procedures that may require blood transfusion, with specific risks and religious considerations

6. Anesthesia Consent: Required for procedures involving anesthesia, detailing specific risks and requirements

What schedules should be included in a Medical Permission Form?

1. Procedure Information Sheet: Detailed medical information about the specific procedure, including preparation instructions and post-procedure care

2. Risk Disclosure Checklist: Itemized list of specific risks discussed with the patient, to be initialed by patient

3. Medical History Form: Patient's relevant medical history, current medications, and allergies

4. Arabic Translation: Complete Arabic translation of the consent form as required by UAE law

5. Insurance Information: Details of insurance coverage and financial responsibility

6. Patient Rights and Responsibilities: Standard document outlining patient rights and responsibilities under UAE healthcare laws

Authors

Alex Denne

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

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What is a Medical Permission Form?

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What schedules should be included in a Medical Permission Form?

Authors

Alex Denne

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