Detailed Medical Consent Template

About this template

Collect medical consent forms from your patients online with Jotform’s free Detailed Medical Consent Template. Simply use the template as-is or customize the fields to better match your practice — then share the form via email to start collecting responses. Once it has been filled out and signed by each patient, it will automatically be converted into a polished PDF document.

Feel free to customize this Detailed Medical Consent Template using our drag-and-drop builder. Add or remove fields, include instructions or terms and conditions, change fonts and colors, and add your logo in a few easy clicks. Stop wasting time with paper forms and switch to a powerful online Detailed Medical Consent Template that your patients can complete on any device. If you’d like to save time by automating your workflow, do it with Jotform Sign’s powerful e-sign solution.

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HIPAA Release Form Template

HIPAA (Health Insurance Portability and Accountability Act), also known as Public Law 104-191, is a law passed in the United States that protects and safeguards the privacy of medical information and has two main purposes: First, to provide continuous health insurance coverage to workers who switch jobs or lose their jobs; Second, is to standardize the electronic transmission and transactions for security and protection of information. This law was primarily passed due to proliferation of data breaches concerning health information.This HIPAA Release Form PDF Template is a standard release authorization form for disclosure of health information for healthcare and health insurance providers which the subject or person consents on disclosing his health information to a certain healthcare organization. This HIPAA Release Form PDF Template is easy to modify and flexible to use.

These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.