The Thyroid Surgery 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, healthcare, ent, thyroid, thyroidectomy, head neck surgery. 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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# Thyroid Surgery Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Date:** ___________ **Surgeon:** ___________ **Facility:** ___________ **Patient Name:** ___________ ("Patient") **Date of Birth:** ___________ **Medical Record Number (if applicable):** ___________ **Procedure(s) Planned:** ___________ --- ## 1. Description of the Procedure (a) **Thyroid surgery** involves the partial or complete removal of the thyroid gland, a butterfly-shaped endocrine gland located at the base of the neck. The thyroid produces hormones (T3 and T4) that regulate metabolism, heart rate, body temperature, and other vital functions. (b) The procedure is typically performed through a horizontal (Kocher) incision in the lower neck, placed in a natural skin crease to minimize scar visibility. Minimally invasive approaches — including video-assisted thyroidectomy, transaxillary robotic thyroidectomy, and transoral thyroidectomy — are available at select centers and may be discussed if the Patient is a candidate. (c) During the operation, the surgeon identifies and preserves the **recurrent laryngeal nerves** (which control vocal cord movement) and the **parathyroid glands** (which regulate calcium balance), ligates the thyroid blood supply, and removes the gland as planned. (d) **Intraoperative nerve monitoring (IONM):** ___________ (e) **Concurrent lymph node dissection:** For confirmed or suspected thyroid cancer, the surgeon may need to remove lymph nodes from the central compartment of the neck (levels VI/VII) and/or the lateral neck (levels II–V). The extent of dissection will be guided by pre-operative imaging, fine-needle aspiration cytology results, and intraoperative findings. (f) The procedure typically takes 1–3 hours under general anesthesia. --- ## 2. Indications Thyroid surgery is recommended for this Patient for the following reason(s):