Biopsy Patient Consent Form

Patient Information

Full Name Date of Birth Contact Number Email Address

Procedure Details

Type of Biopsy Location of Biopsy Date of Procedure Physician's Name

Consent

I acknowledge that I have been informed about the nature of the biopsy procedure, its purpose, potential risks, benefits, and alternatives. I have had the opportunity to ask questions and they have been answered to my satisfaction.

I understand that I may withdraw my consent at any time before the procedure.

Patient Comments / Questions