A consent form, signed on a phone.
Your practice gets a private link and a QR code. Your patient scans it, reads the consent form for the treatment she is having, signs it on her own phone, and you both get a copy by email. No app, and nothing for her to install.
Your copy is emailed to you and to the practice. We keep no record of it.
Before your treatment.
Choose the treatment you are having today. You and the practice both get a signed copy by email, immediately.
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Your copy is emailed to you and to the practice. We keep no record of it.
Is this your page?
Set this up once.
Your practice details go on every consent form, so you only enter them here. After this you just show your code.
Exactly as it should appear in the consent form.
Printed on every form. Used to pick the right state wording.
Where the treatment is performed. This decides which state's consent wording is used.
The name that signs the practice's side.
The practice's copy of every signed consent goes here.
Letters, numbers and hyphens.
This signs the practice's side of every consent, so nothing is left blank.
Sign in.
No password. Enter your email and we will send you a link that signs you in.
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Every signed agreement is emailed to you. That never changes.
They get a copy too. You still get yours.
This is the name printed on every agreement you issue from now on. Agreements already signed keep the name they were signed under.
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Draw a new one to replace it. For your own security we never send your stored signature back to this page, so there is nothing to edit here. You draw it fresh, or you leave it alone.
Pick the accent your patients see. Your text stays black on white whichever you choose, so a consent form is always easy to read.
Tick the treatments you actually perform. Your patients see only these. Leave them all unticked to offer the full set.
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We do not keep a copy. Every signed form is emailed to you and to the patient the moment it is signed, and that email is the record. Search your inbox for the patient's name.
Cancel any time. Tap below, enter the email you paid with, and Stripe sends you a link to cancel or update your card. Or email us at records@consentformez.com and we will take care of it for you.
Manage or cancel my subscription
The agreement is written for the state you choose.
Your signed copy goes here.
You must be eighteen or older to sign.
You may withdraw consent at any time before your treatment begins. Your signed copy is emailed to you and to the practice. We keep no copy.
This link is not active right now.
Nothing has been sent and nothing has been recorded. Please ask the person who gave you this link to get in touch with us.
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Signed and sent.
A countersigned copy is on its way to your inbox. Keep it. You can request deletion at any time.
Your copy is also on its way by email.