Practical guide
Informed Consent at a Chinese Medicine Appointment in Australia
Before planned care, understand the proposed service, material risks and expected outcomes, fees and the decision being requested. The Australian shared code treats informed consent as an understandable, voluntary decision, with time for questions.
Name the decision being requested
Start with a plain question: “What examination, investigation or treatment are you proposing, and what would I be agreeing to?” Choosing a practice or arriving for an appointment should not leave the actual proposal unnamed. Keep the practitioner’s explanation beside the decision they are asking you to make.
The shared Code of conduct defines informed consent as a voluntary healthcare decision made with knowledge and understanding of the benefits and risks. Its section 4.2 expects understandable information before consent and enough time for questions and informed decisions. This is more useful than treating the conversation as a signature exercise.
This guide concerns preparation for a planned appointment. It does not decide the validity of a particular document, a person’s decision-making capacity or the consent arrangements for a child or substitute decision-maker. Those situations require the applicable professional and local legal process.
Ask for the information that makes the proposal understandable
On a phone, scroll this table sideways. Keyboard readers can focus it and use the arrow keys.
| Field | A question to ask | What to retain |
|---|---|---|
| Proposed service | What exactly would you examine or do? | The identified examination, investigation or treatment |
| Material risks and expected outcomes | Which risks and expected outcomes should I understand for this proposal? | The practitioner’s actual explanation and unanswered questions |
| Understanding and time | Can you explain that in another way, and can I ask questions before deciding? | What became clear and what still needs explanation |
| Fees | Which required services are included, and what costs remain? | The discussed service scope and costs |
| Teaching, research or disclosure | Are you asking about my care, another activity or sharing information? | The exact separate purpose and scope |
Ask for the explanation relevant to the actual proposed service. A general description of acupuncture or a familiar traditional term does not supply the person-specific risk and expected-outcome conversation. This website does not generate that clinical assessment for you.
If you can repeat a phrase but cannot explain what it means for the proposal, keep the question open. Ask the practitioner to clarify before treating the information as understood. The purpose of the record is to preserve the conversation, not to certify that consent has been obtained.
Keep communication support and time visible
Section 3.2 calls for courteous, respectful and honest communication, attention to health literacy and practical steps to meet language, cultural and communication needs. Those steps include translating and interpreting services where necessary and checking whether the patient understands the information.
Tell the practice what would make the discussion understandable before the appointment where possible. Ask which communication or interpreting support can be arranged and how that arrangement works. Do not assume that an interpreter, a particular language or a free service is available; retain the practice’s answer and any unresolved arrangement.
It is reasonable to prepare questions in advance and ask for explanations in plain language. The code respects a patient’s choice about participating in treatment or accepting advice. Your worksheet is a way to organise the decision being discussed, rather than a score predicting how a consultation will go.
Clarify costs and separate purposes
Section 4.2 describes financial consent: discussing fees appropriately, addressing the costs of all required services and reaching general agreement about the level of treatment, preferably before the service. Ask what the quote includes and which further service or referral could have associated costs. A single session price may not answer the whole scope question.
The same section addresses consent before examinations, investigations, treatment and involvement in teaching or research, subject to its stated circumstances. Keep the purpose being requested explicit. Consent to one identified activity should not become a vague permission for an activity that has not been explained.
Information-sharing has its own scope. Section 3.3 addresses confidentiality and consent before disclosure; it also calls for written and informed consent before transmitting, sharing, reproducing or posting information or images. Ask who would receive the information and for which purpose. The code also recognises lawful disclosure and emergency-care circumstances; this guide does not decide an individual legal exception.
Explain
Identify the proposed service, material risks, expected outcomes and costs.
Understand
Ask questions and arrange the communication support that is needed.
Decide and record
Retain the exact purpose, decision and unresolved questions.
Try three fictional consent conversations
These examples check the information in a conversation. They are not real consultations, personal risk assessments or rulings on a signed document.
Case 1
A form has been signed, but the reader cannot identify the examination being proposed. What remains to ask?
Show answer and explanation for case 1
Ask for the actual proposal and an understandable explanation before treating the conversation as complete.
Section 4.2 describes a voluntary decision with understanding, information and time for questions. A signature alone does not tell this reader what was explained.
Case 2
A practice quotes a visit price but later mentions another required service. Which question has not been resolved?
Show answer and explanation for case 2
Ask which services and associated costs are included in the financial-consent discussion.
The code addresses all required services and general agreement about the level of treatment. This example does not establish a total price or judge a real bill.
Case 3
A discussion concerns the planned examination, then a request is made to use information in teaching. Is the teaching purpose already clear?
Show answer and explanation for case 3
No. Ask for that purpose and the decision being requested separately.
Section 4.2 explicitly includes teaching or research in its consent expectations. The reader should retain the activity actually explained rather than assume an unspecified use.
Keep a private question record
Use the blank consent-question record for the proposed service, explanation, questions, communication arrangements, fees and separate purposes. A short record of an unanswered question is more useful than a generic tick saying everything is understood.
The code expects appropriate documentation of consent, including considering written consent for higher-risk procedures. Your own notes do not replace the practice’s record or determine which form is required. Ask how the practice records the conversation.
For access to the practice’s records, use the health-record access guide. For an actual product discussion, retain the package and use the existing pharmacist-visit worksheet; this consent guide does not choose a herb, dose or treatment.
Sources and further reading
- Ahpra: Shared Code of conductComplete selected About/Scope and sections 3.2, 3.3, 4.2 and 8.3 read. Professional conduct, informed/financial consent, communication and documentation; entire code and independent local laws not claimed read.
- Chinese Medicine Board: what to expect at an appointmentComplete page text read. The actual written descriptions identify consent and appointment information; embedded videos not watched or transcribed.