A new Waiver of Responsibility and Liability CLI.4110.FORM.05 was developed by Acute Community Hospitals and posted in the October 27 Policy Update.

The purpose of this bilingual stand-alone form is to provide a standardized regional form that combines all waivers of responsibility and liability relevant to inpatients.

This is not to be confused with the Waiver of Responsibility (Procedure, Treatment and Investigations) – Bilingual (formerly known as Waiver of Responsibility) a supporting document to CLI.4110.PL.001 Consent for Procedures, Treatment and Investigations policy.

ACTION for all Inpatient Units:

• add this new Waiver of Responsibility and Liability form to your admission packages; and
• remove all existing in-house waivers used for this purpose from the ward.

Submitted by: Vanessa Siemens, Director – Acute Community Hospitals