A sample telemedicine consent form is used by virtual medical organizations to collect informed consent and e-signatures from their patients remotely. If you’ve recently switched to telemedicine, have your patients submit their consent forms online with our free Sample Telemedicine Consent Form! Just customize the terms and conditions to match your practice, embed the form in your website or share it with patients via email, and watch as responses are stored in your secure online Jotform account. You can even automatically convert submissions to PDF documents, easy to download or print for your records!
Use our drag-and-drop Form Builder to add your new terms and conditions, upload your logo, or customize the fonts and colors of this Sample Telemedicine Consent Form. Upgrade to protect sensitive medical data with HIPAA friendly features. If you’d like to send signed consent forms to other accounts you’re already using — like Google Drive, Dropbox, or Box — do it automatically with our 100+ free form integrations. Collect e-signatures and consent forms instantly online with this Sample Telemedicine Consent Form template!