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Allied Health NDIS Audit Checklist: worksheet

Informed consent

Ahpra shared Code of conduct. Edition held: Shared Code of conduct, June 2022, in effect from 29 June 2022; checked current on 30 September 2026 (Ahpra code page read 30 September 2026: a review of the codes is under way, no revised version published).

Under review, not in force: A review of the shared code is under way; the June 2022 code stays in effect until a revised one is published.

Standards library: https://compliance.theartofservice.com/frameworks/ahpra-shared-code-of-conduct-2022. Page: https://allied-health-ndis-audit-checklist.theartofservice.com/rules/ahpra-code-of-conduct/4-2-informed-consent/

RefRequirement (our statement of the clause)Evidence an auditor or the regulator asks forCommon gap to checkHeld (yes, partly, no, not applicable)Where it is keptOwnerLast reviewedNext review
4.2Informed consent is a free choice a person makes about their healthcare, understanding what it may gain them and what it risks. Good practice means the practitioner: (a) gives information the patient can understand before seeking consent; (b) allows enough time for questions and decisions; (c) acts according to the patient's capacity to decide and consent, including for children and young people by maturity, understanding and the nature of the care, considering whether consent is also needed from a parent, carer, guardian or other substitute decision-maker; (d) obtains informed consent from the patient or, if they lack capacity, from the parent, carer, guardian or substitute decision-maker, before any examination, investigation, treatment (an emergency may make this impossible) or involvement in teaching or research, covering material risks and expected outcomes and taking account of any advance care directive; (e) obtains financial consent by discussing fees appropriately, covering the cost of all required services and agreeing the level of treatment, preferably before the service; (f) tells patients the benefits, costs and risks of a referral for further investigation or treatment; and (g) documents consent appropriately, considering written consent for higher-risk procedures or those that could cause serious injury or death.
Source: https://www.ahpra.gov.au/Resources/Code-of-conduct/Shared-Code-of-conduct.aspx
Signed consent forms for higher-risk procedures listing material risks and expected outcomes; Clinical notes recording the consent discussion, questions asked and decision time given; Written fee estimates or quotes issued before treatment; Capacity assessments and substitute decision-maker consent records for patients without capacity, including minorsConsent obtained on the day of a high-risk procedure with no time to consider; Fees disclosed only on the invoice; No record of who consented for a child or a patient without capacity; Material risks missing from the consent form☐ yes
☐ partly
☐ no
☐ n/a

Completing this worksheet records what your practice holds and where. It does not make a practice compliant or ready for audit, and it is not legal advice.