Medical Consent Form Template
Get informed consent on record before the appointment starts — patients sign on their phone, you skip the clipboard.
A complete medical consent form covering treatment description, risks, alternatives, and patient signature. Patients fill it out before they arrive, the signed copy lands in your inbox or EHR, and the front desk stops chasing paperwork.
Why use a medical consent form?
What's included in this template
14 fields — customize any field or add new ones with AI.
Need different fields?
Tell the AI what to change — "add a budget dropdown" or "remove phone number" — and it edits the form instantly. Every field type above can be added, removed, or relabeled through the chat interface.
Key features of this medical consent form template
Everything you need to launch this form in minutes, share it with your team, and collect submissions reliably.
Legally binding e-signature
Captures a drawn signature plus an audit trail — IP address, timestamp, browser — so the consent holds up if it ever gets challenged.
Risks and alternatives acknowledgement
Separate checkboxes for risks, alternatives, and the right to decline — the three pillars of informed consent every regulator looks for.
Mobile-friendly signing
Patients sign with a finger on their phone. No app install, no PDF download, no printer required.
Auto-delivered PDF copy
A signed PDF is emailed to both the patient and the clinic the moment the form is submitted — no manual export step.
Reusable per procedure
Duplicate the template for each treatment type. Edit the procedure description and risk language once, use it forever.
HIPAA-friendly data handling
No third-party trackers, encrypted in transit and at rest, and submissions stay in your account — not on a vendor dashboard you can't audit.
Perfect for
How to use this template
Open the template
Click "Use this template free." Flexform loads the form instantly — no account needed to preview.
Customize with AI
Type what you want to change in the chat: fields to add or remove, rename labels, change field types, or rearrange pages.
Connect & publish
Link to Email or Google Sheets with one click, then embed on your site or share the link.
Ways to use this template
Pre-procedure consent at dental and medical clinics
Send the link with the appointment confirmation email. Patients sign the night before, the front desk sees a green check next to their name when they arrive, and the appointment starts on time instead of with 10 minutes of paperwork.
Telehealth visit consent
Telehealth providers in most US states need documented consent before the first video visit. The form goes out with the booking link, gets signed before the call starts, and the signed PDF auto-files in the patient record.
Aesthetic and dermatology procedures
Botox, filler, laser, and chemical peel consent forms each have specific risk language. Duplicate the template per procedure, edit the risk section, and have the right form ready for each treatment without rebuilding from scratch.
Physical therapy and chiropractic intake
Manual therapy consent is one of the most-requested forms in PT and chiro offices. Patients fill it out on the waiting room iPad or on their own phone before they walk in.
Mental health practice intake
Therapists running a private practice need consent for treatment, telehealth, and (sometimes) recording sessions. One form per consent type, all shareable as links.
Clinical research participation consent
For low-risk studies, a digital consent form with a clear risks-and-alternatives acknowledgement is often enough to meet IRB requirements — and the timestamped audit trail is exactly what reviewers ask for.
Workflow integrations
Connect this form to your existing tools with no middleware. Every submission triggers your workflow automatically.
Real-time sync
Data appears in your CRM or spreadsheet within 1–2 seconds of submission — no cron jobs, no delays.
Conditional routing
Route submissions to different Slack channels, HubSpot pipelines, or Airtable bases based on field values.
Two-way data flow
Pre-fill form fields with CRM data for returning visitors. Update existing records instead of creating duplicates.
Why choose Flexform?
Frequently asked questions
Is a digital signature legally valid for medical consent?
In the US, the ESIGN Act and UETA treat electronic signatures as equivalent to handwritten ones for almost all medical consent purposes. The signed PDF FlexForm generates includes the drawn signature, a timestamp, and an IP-address audit trail — which is what regulators and malpractice insurers look for when consent is challenged. The same is true in most of Europe under eIDAS.
Is this form HIPAA-compliant?
The form itself doesn't store protected health information beyond what the patient enters, and FlexForm encrypts data in transit and at rest. For a fully HIPAA-covered setup you'll want a signed BAA — reach out to support before going live if you're a covered entity, and we'll confirm what tier covers your use case.
Can I customize the risks and alternatives language for my specific procedure?
Yes — and this is the most common edit. Open the form in the editor, describe what procedure you're using it for in plain English (for example, "rewrite the risks section for a wisdom tooth extraction"), and the AI rewrites the relevant fields. You stay in control of the final wording.
How do I send the form to patients?
Each form has a share link you can paste into an appointment confirmation email, a text message, or a calendar invite. No login required for the patient. You can also embed the form on your clinic website if you'd rather host it on your own domain.
Where do the signed forms go?
Every submission generates a PDF that gets emailed to whichever address you set, and the data also lives in your FlexForm dashboard. You can pipe submissions to Google Sheets for your records, or send them via webhook to your EHR if it supports inbound webhooks.
Can a parent or guardian sign on behalf of a minor?
Yes. The signature field is labelled "Patient or guardian signature" by default, and you can add a separate "Relationship to patient" dropdown if you want to capture that explicitly. The audit trail records the same way regardless of who signed.
Can I embed this in my clinic's mobile app?
Yes. FlexForm has a Kotlin Multiplatform SDK for iOS and Android, so if you have a native patient app the consent form can render inside it instead of opening a browser. The signed submission still flows through your account.
Is there a free plan?
Yes — the free forever plan covers most small practices. You get the form builder, AI editing, signature capture, the share link, and email delivery of signed PDFs at no cost. Paid tiers add higher submission volume and integrations like Slack and webhooks.
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Use this medical consent form template free
Open the template, customize with AI, connect your tools, and publish — in under 5 minutes.
No signup required · Free forever plan