Emergency Consent

Emergency Consent

Emergency Consent only applies to procedures that would otherwise require OLS Approval (removal of a bodily organ, amputation of a limb, sterilization, or abortion).

The physician must complete the Physician’s Affidavit of Emergency Need for Emergent Removal of a Bodily Organ, Amputation of a Limb, Sterilization, or Abortion.

By signing the form, the physician is stating that the procedure will be performed within 24 hours and is emergently necessary in order to preserve the individual’s life OR to prevent serious impairment of their physical health.
NOTE: The most up-to-date form is available on the shared guardianship drive.

Once the guardian receives the completed form back, the guardian will forward the documentation and request for Emergency Procedure to their supervisor.

The supervisor will consult with the branch manager.

If it is determined that emergency criteria is met, the supervisor will give consent, document who consent was given to, and enter an event in KYGFIS addressing all the required information.

The guardian or supervisor will attach the physicians’ affidavit as a file to the event.

The Guardian will enter an outcome once the procedure is complete.
