{"text":"Patient Agreement to Investigation or Treatment \" NHS \nGreater Glasgow \nand Clyde \nCONSENT FORM \n\u2014\u2014 \n() . LDLT WK[\/L \n\ufb02nw\ufb02m\ufb02wm mmmm\ufb02 \no .. \u2019 . CLELLAND ' \nHospital\/Clinic\/GP Practice ..................... AcnEg o P PR \n. : 39 RENNIE roap 8\/09\/1955 \nKILSYTH \u2018 \nPatient\u2019s surname\/fam:ly name :.............. Stascon feeereaeerreseetiteteiirerreasinertaranns \nQiI-0809555328 G65 9pg _ \nPatient\u2019s first NAMe(S): .o r et v S . \nDate of Birth___\/ \/ Gender: Male [] Female [] \nNHS\/ CHI Number \nSpecial requirements (e.g. other language\/communication method) ....................... everereeiaaen \n............................................... \n:\\,esponsible practitioner: ...........ociovineunens T T T ettt \nJOD BItlEr et e e ferreeri et e s aaraaas \nDescrlbe proposed operation, investigation or other treatment. \nWhere appropriate specify site or side: (WRITTEN IN FULL) \nM opy Tendon @Em\/sr@%%m \nWL TWSH\u2014K _ \nk \n| have explained the procedure named on this form to the patient in terms which, in my judgement, are \nsuited to their understanding. In particular, | have fully explained: the intended benefits; appropriate \nalternatives which are available (including no treatment); any significant risks which may result from \nthe procedure; and any extra procedures which may become necessary during the procedure (please \nspecify major procedures above)","words":[{"t":"Patient","x":0.04312777106005642735464533643607865087687969207763671875,"y":0.0322029068110572802563495997674181126058101654052734375,"w":0.08504635227730754365449428178180824033915996551513671875,"h":0.0182388144770589920307113374065011157654225826263427734375},{"t":"Agreement","x":0.135832325675130982656213518566801212728023529052734375,"y":0.037902536335138216350149065192454145289957523345947265625,"w":0.1338170092704554503537650589350960217416286468505859375,"h":0.0162439441436306626631580485309314099140465259552001953125},{"t":"to","x":0.277710600564288589975348031657631509006023406982421875,"y":0.038757480763750358498942460983016644604504108428955078125,"w":0.0245868601370415156004423096192113007418811321258544921875,"h":0.01111427757195782191346200562520607491023838520050048828125},{"t":"Investigation","x":0.3111648528819024317471075846697203814983367919921875,"y":0.0376175548589341712801825678980094380676746368408203125,"w":0.1531640467553405937639610101541620679199695587158203125,"h":0.016528925619834711202571497778990305960178375244140625},{"t":"or","x":0.474002418379685597216166570433415472507476806640625,"y":0.0413223140495867780064287444474757649004459381103515625,"w":0.0253929866989117299092004742533390526659786701202392578125,"h":0.00911940723852949601535566870325055788271129131317138671875},{"t":"Treatment","x":0.50665054413542931488478870960534550249576568603515625,"y":0.038472499287546306490082059781343559734523296356201171875,"w":0.1257557436517533211439712204082752577960491180419921875,"h":0.0119692220005699623275319254389614798128604888916015625},{"t":"\"","x":0.811769447803305066457824068493209779262542724609375,"y":0.039327443716158448638875455571906059049069881439208984375,"w":0.00201531640467553403717193560851228539831936359405517578125,"h":0.0017098888572242803944589706333090362022630870342254638671875},{"t":"NHS","x":0.86255542120112860260405795997940003871917724609375,"y":0.0376175548589341712801825678980094380676746368408203125,"w":0.06610237807335751780701826874064863659441471099853515625,"h":0.016528925619834711202571497778990305960178375244140625},{"t":"Greater","x":0.8484482063683997932201918956707231700420379638671875,"y":0.067825591336563129107872782697086222469806671142578125,"w":0.041918581217251109360955041438501211814582347869873046875,"h":0.0065545739526930747731459092619843431748449802398681640625},{"t":"Glasgow","x":0.89439742039500202963608899153769016265869140625,"y":0.06754060986035907709901238149541313759982585906982421875,"w":0.047158403869407498898436159606717410497367382049560546875,"h":0.00854944428612140240597572216074695461429655551910400390625},{"t":"and","x":0.8673921805723499023343947555986233055591583251953125,"y":0.0760900541464804847091585315865813754498958587646484375,"w":0.019750100765820233217340273768058978021144866943359375,"h":0.00626959247648902796845593599073254154063761234283447265625},{"t":"Clyde","x":0.89197904070939137977092059372807852923870086669921875,"y":0.0760900541464804847091585315865813754498958587646484375,"w":0.030229746070133012292302510104491375386714935302734375,"h":0.00854944428612140240597572216074695461429655551910400390625},{"t":"CONSENT","x":0.377670294236195080994633599402732215821743011474609375,"y":0.06953548019378739952767176646375446580350399017333984375,"w":0.13663845223700121778165339492261409759521484375,"h":0.0265032772869763476319970862959962687455117702484130859375},{"t":"FORM","x":0.525191455058444223169544784468598663806915283203125,"y":0.08064975776574521970641029611215344630181789398193359375,"w":0.07940346634421603655429322543568559922277927398681640625,"h":0.015388999715018523983811604693983099423348903656005859375},{"t":"\u2014\u2014","x":0.037081821846029823508406053633734700269997119903564453125,"y":0.394414363066400708301983968340209685266017913818359375,"w":0.00604594921402660211151580682553685619495809078216552734375,"h":0.0148190367626104303744316581514794961549341678619384765625},{"t":"()","x":0.03909713825070536274974841717266826890408992767333984375,"y":0.66486178398404105482910608770907856523990631103515625,"w":0.0266021765417170479028907692509164917282760143280029296875,"h":0.0193787403818751792494712304915083223022520542144775390625},{"t":".","x":0.13422007255139056791648499711300246417522430419921875,"y":0.6836705614135081265914095638436265289783477783203125,"w":0.00604594921402660211151580682553685619495809078216552734375,"h":0.004844685095468794812367807622877080575563013553619384765625},{"t":"LDLT","x":0.4050785973397823536146233891486190259456634521484375,"y":0.67227130236534626828159844080801121890544891357421875,"w":0.12374042724707778884152276077657006680965423583984375,"h":0.032772869763465377335176498263535904698073863983154296875},{"t":"WK[\/L","x":0.57033454252317616894885077272192575037479400634765625,"y":0.661442006269592486233932504546828567981719970703125,"w":0.164449818621523580208787507217493839561939239501953125,"h":0.03676261043032202913138917210744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