Consent Forms Flashcards

(19 cards)

1
Q

What is the full name of the individual?

A

de Duane

This is the name provided in the personal information section.

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2
Q

What is the full address listed?

A

65 Romansw

This address is part of the personal information provided.

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3
Q

What is the email address of the individual?

A

DarteS@gral.com

This is the email provided for contact.

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4
Q

What is the mobile number listed?

A

07332116563

This is the contact number provided.

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5
Q

What is the date of birth of the individual?

A

15101/97

This date is provided in the personal information section.

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6
Q

What is the age of the individual today?

A

Please indicate if you experience any of the following:

Age is not explicitly stated in the text.

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7
Q

True or false: The individual has heart disease.

A

TRUE

The individual circled YES for heart disease.

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8
Q

True or false: The individual has high blood pressure.

A

TRUE

The individual circled YES for high blood pressure.

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9
Q

True or false: The individual has an infectious skin condition.

A

TRUE

The individual circled YES for an infectious skin condition.

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10
Q

What medication is the individual currently taking?

A

Aspirin

This is the only medication listed.

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11
Q

Is the individual currently pregnant?

A

NO

The individual circled NO for pregnancy.

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12
Q

Is the individual currently breastfeeding?

A

NO

The individual circled NO for breastfeeding.

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13
Q

Has the individual consumed alcohol or recreational drugs in the last 24 hours?

A

NO

The individual circled NO for substance consumption.

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14
Q

Has the individual eaten in the last 4 hours?

A

NO

The individual circled NO for eating in the last 4 hours.

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15
Q

Does the individual consent to photographs being taken for social media?

A

YES

The individual circled YES for consent.

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16
Q

What should receptionists ensure regarding the piercer’s liability?

A

Forms are checked thoroughly

It is important to relay any information that could restrict or prevent a service to the piercer.

17
Q

If a client ticks YES for seizures or epilepsy, what should the receptionist ask?

A

If they have brought a chaperone

This is important for safety during the piercing.

18
Q

What should be checked if a client has asthma?

A

Last attack and severity

This helps determine if the service can be offered safely.

19
Q

What is critical to inform the piercer about regarding allergies?

A

Any allergies, especially latex

Failure to disclose allergies could be fatal.