HOUSE OF HOUND — WIREFRAME SAMPLE
Not a live clinical document. Use sample information only.

CONSENT FORM OUTLINE

SAMPLE OUTLINE — NOT VALID FOR CLINICAL USE

Owner and patient details section.

Proposed assessment and rehabilitation discussion.

Information sharing and veterinary liaison section.

Questions, explanation and agreement section.

Privacy and record handling information.

Signature and date section.

The final wording must be supplied and approved by House of Hound.