A pediatric medical release form is a legal document that authorizes medical staff to treat a minor. Use this free Pediatrics Medical Release Form template to collect informed consent from parents for pediatric care! Just customize the form to fit your practice, and send out the link to have parents fill out the form online. It’s ideal for pediatric practices and pediatricians, especially if they don’t have the time to call or visit each parent individually.
You can customize the Pediatrics Medical Release Form to match your practice’s branding with your logo, colors, and fonts. If you’d like to keep patient information private, Jotform offers HIPAA compliance, keeping this form and your medical practice protected from damages. And with our 100+ integrations, you can send collected responses to your CRM or storage service of choice. Track progress and get the information you need from parents with a free online Pediatrics Medical Release Form.