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Consent Hierarchy Chart


Without Consent Exception 

  • Upon the inability of any adult to consent for himself and in the absence of any person in the Consent Hierarchy an adult friend of the patient may give consent.
  • Adult friend = an adult who (1) has exhibited special care and concern for the patient; (2) who is generally familiar with the patient’s health care views and desires; and (3) who is willing and able to become involved in the patient’s health care decisions and to act in the patient’s best interest.
  • The adult friend shall sign and date an acknowledgment form provided by the hospital for placement in the patient’s records certifying that he or she meets such criteria.


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