Documents the patient's informed consent to bone marrow biopsy and aspiration, including indication, posterior iliac crest technique, local anesthesia, pain management, risks, and alternatives.
The Bone Marrow Biopsy & Aspiration Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, hematology, oncology, bone marrow, biopsy, aspiration. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Bone Marrow Biopsy & Aspiration Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. This document records your voluntary informed consent to bone marrow biopsy and aspiration. Your hematologist, oncologist, or a qualified designee has discussed, or will discuss, the following information with you. Please read carefully and ask any questions before signing. --- ## Patient Information **Patient Name:** ___________ **Date of Birth:** ___________ **Medical Record Number (if known):** ___________ **Treating Physician:** ___________ **Facility:** ___________ **Planned Procedure Date:** ___________ --- ## 1. Indication Bone marrow biopsy and aspiration has been recommended for evaluation of: ___________ **Additional clinical notes:** ___________ --- ## 2. Description of the Procedure Bone marrow biopsy and aspiration samples cells and tissue from the marrow space inside a bone to evaluate the composition, cellularity, and morphology of blood-forming (hematopoietic) cells. **Primary site:** ___________