I am trying to trace when I started the practice of having my patients affix their signatures on medical clinic records that I made for them.
I will start with this one. 2005. I will see my old medical records. I believe it is earlier than 2005. I will update this page if I find a record that shows earlier date.
I ask them to sign to acknowledge that I have explained things to them. I ask them to sign if they are agree or have decided on a certain diagnostic or treatment procedure. I ask them to sign to acknowledge my advices. I ask them to sign if they make a pledge on what to do at home for their health restoration and maintenance of well-being. This constitute documented evidence and documented informed consent.