This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on January 18, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is MDW Form 164?
A: MDW Form 164 is a Disclosure and Consent form.
Q: What does MDW Form 164 pertain to?
A: MDW Form 164 pertains to anesthesia and/or perioperative pain management (analgesia).
Q: What is the purpose of MDW Form 164?
A: The purpose of MDW Form 164 is to obtain the patient's consent and provide information related to anesthesia and/or perioperative pain management.
Q: Why is MDW Form 164 important?
A: MDW Form 164 is important because it ensures that the patient understands and consents to the anesthesia and/or perioperative pain management procedures.
Q: When is MDW Form 164 used?
A: MDW Form 164 is used prior to anesthesia and/or perioperative pain management procedures.
Q: Is MDW Form 164 specific to a certain region?
A: No, MDW Form 164 is not specific to a certain region. It can be used in the United States and Canada.
Form Details:
Download a fillable version of 59 MDW Form 164 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.