We are a small facility, a critical access facility in a very rural area. On our Op consents we have a "line" where the patient writes in their understanding of the procedure. Or if they can't write it themselves we write in quotation marks what the patient tells us. under that line we have another line where the actual medically correct name for the procedure is written out. When we witness a consent we are only witnessing that we observed that the patient themselves signed the consent for procedure form.