Consent Form

Instructions (Please read before completing)

Section 1 – This should be completed by everyone

Section 2 – This should ONLY be completed if you are not the patient AND the patient is not deceased.

Section 3 – This should ONLY be completed if you are not the patient AND the patient is deceased

Section 4 – This should ONLY be completed if the consent of a Next of Kin/Power of Attorney for Welfare/Legal Guardian is required and this is NOT the person making the complaint.

If you require any help in completing this form, please contact us on 0131 314 0000