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Discussing Circadia Consent Forms with Patients & Families

When obtaining consent, clear communication is essential. Use simple, neutral language, avoid medical jargon, and allow time for questions. Below are scripts and best practices for in-person and phone conversations.

Updated over a week ago

At Circadia, we prioritize transparency and patient privacy. Similar to obtaining consent for treatment, Circadia requires a Consent to Monitor to ensure that patients and their representatives fully understand and agree to how our remote monitoring system operates.

By obtaining consent, you:

✅ Ensure patients and families understand the benefits of Circadia’s monitoring.

✅ Provide clarity on how health data is collected, used, and protected.

✅ Maintain compliance with legal and regulatory standards.

In-Person Consent Explanation

When speaking in person, ensure the individual fully understands the purpose and implications.

Script:
"Hi (patient name/caregiver), we will be installing a new medical device above each bed in the facility to monitor breathing and heart rate. This helps nurses track small changes in [Patient’s Name]’s breathing and heart rate when they’re not in the room, so they can respond sooner if needed.


The device is FDA-cleared, nothing touches the bed or the body, and it works from up to 4 feet away. It will be installed above every bed in the facility."

Best Practices:

✅ Maintain eye contact and use open body language.

✅ Allow time for the individual to process the information.

✅ Be prepared to answer questions and address concerns.


Phone Consent Explanation

When explaining consent over the phone, speak slowly and clearly, since the listener cannot see the device. Always confirm understanding before proceeding.

Script:
"Hi (POA/Responsible Party), I am calling from (Facility Name) because we are providing remote monitoring services to (Patient Name) and need your consent.


Circadia Health’s RPM Care Coordination team will provide these services. A contactless device will be placed above the bed to monitor breathing and heart rate. Circadia nurses will review the data and notify our clinical staff of any changes. This enhances patient safety, but to clarify, it is not a lifesaving device and does not detect heart attacks or sudden respiratory arrest.


Do you have any questions? (Refer to FAQ for common responses.)


If not, may I ask for your consent for the medical group to provide these services?


(If yes) Please state your full name and relationship to the resident. If needed, spell out your first and last name."

Best Practices:

✅ Pause regularly to allow for questions.

✅ Confirm understanding before moving forward.

✅ Summarize key points clearly and concisely.

By following these scripts and best practices, you can ensure individuals fully understand the consent process, fostering trust and transparency.


Next Steps & Additional Resources

Document Verbal Consent — Always record it appropriately in the system.

Use the FAQ Guide — Reference it for common questions and responses.

Escalate When Needed — If questions fall outside the FAQ, contact your Circadia point of contact or email [email protected].


💬 Need Help?

Our team is here to support you. Use the chat feature in the CIP app, or email [email protected].


🔐 Resource

For SOC 2, HIPAA, security, privacy, and compliance information, please refer to the Circadia Trust Center: https://trust.circadia.health/

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