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    Consent Agreement Templates

    A Medical Consent is a process for getting permission before conducting a healthcare intervention on a person, or for disclosing personal information. A health care provider may ask a patient to consent to receive therapy before providing it, or a clinical researcher may ask a research participant before enrolling that person into a clinical trial. Informed consent is collected according to guidelines from the fields of medical ethics and research ethics.

    NonProfit Donation Consent

    Charity

    With NonProfit Donation Consent Sample, your Nonprofit can collect donor information, donation and consent signatures via e-signature widgets like Adobe Sign and DocuSign. You can securely accept payments online with integrated payment processors such as PayPal or Square.

    Online Therapy Consent

    Healthcare

    This Online Therapy Consent contract sample is a perfect fit for you, if you want to check your patients' crucial data and record their data without any problem. By using this Online Therapy Consent PDF template, you can get online permission from your patients. Moreover, you can print out your consent PDF template for the patient's patient folder. You may collect personal information such as their name, birth date, and contact information. Also, you may inform your patients about their rights with respect to telemedicine with their signature. In addition, you do not have to worry about your data's safety, our forms have HIIPA Compliance.

    Professional Medical Release

    Consent Agreement

    This Medical Consent PDF template includes knowledge belong to your clients such as their contact, work, spouse, policyholder, in case of an emergency contact information, the consent, and signature. In addition, you can create a Medical Consent PDF template with HIPAA Compliant.

    Release of Medical Information

    Healthcare

    With this medical consent PDF template, you can get online authorization from your patients, then you can record their data easily. This medical consent sample includes contact details, medical history, consent, and signature.

    Professional Medical Consent

    Healthcare

    You can get online consent from your patients by using this medical consent pdf template. In addition, this medical consent sample allows gathering personal information, medical details, and contact info.

    Summer Camp Parental Consent

    Healthcare

    When organizing summer camp programs, you need to provide as much information as possible about camp rules to parents and guardians. With JotForm’s Summer Camp Parental Consent PDF Template, you can create a personalized and detailed consent form parents will actually want to read. You’ll also be able to save all submitted online responses as PDFs that can easily be downloaded and shared with camp staff. Using JotForm’s PDF Editor, you can rewrite the provided text to better describe your camp’s unique policies and services. No coding skills needed — just drag and drop elements until you’re satisfied with the template layout. Once you’ve finished making modifications, your template will automatically convert any submitted responses into PDFs that will be as safe as your campers.

    Acupuncture Medical Consent

    Healthcare

    Collecting medical information is overwhelming. In case that, you are working for an acupuncture company who is looking for gathering data such as acupuncture information, you may use this Acupuncture New Client PDF template to achieve that goal. Acupuncture is a form of alternative medicine in which thin needles are inserted into the body. You can use this Acupuncture New Client PDF template for picking up the customers who are available for this cure and you can get online authorization from your patients. This Acupuncture New Client PDF template has five categories that allow you to collect patients' data such as personal information, client medical history like past operations, diagnosis and symptoms; for instance, digestions & bowels, breathing, heart & blood circulation. Also, this Medical History Record PDF template is HIPAA Compliant.

    Medical Release

    Healthcare

    This medical release template allows you to collect personal information and medical information. Then, you can move the data into JotForm’s PDF editor and record the data that belongs to the participant.

    Blood Donation Consent

    Healthcare

    With this blood donation consent PDF template, you can collect contact information and personal information from donors. This medical consent form sample asks some questions that are necessary for blood donation.

    Detailed Medical Consent

    Healthcare

    This medical consent form is used for collecting personal information such as name, gender, address, phone, email and medical information such as medications, conditions that belong to the patient and dental information. You can get medical consent from your patients easily with this form.

    Separation Agreement

    Consent Agreement

    A Separation Agreement PDF Template lays down statutory requirements and procedures that will enable the aggrieved parties to amicably resolve their marital issues. You can also freely use the sample details.

    Free Non-Compete Agreement

    Business

    This is due to employees working in key positions which access to confidential information, such as trade secrets of a business is inevitable to be acquired by employees. In such instances where the employee resigns, in a way, they are taking with them the confidential information with them. Problem arises here where a competitor may hire the employee and get the classified information from the employee, including the clients and customers of the former employer, putting the latter on the lesser advantage. Another consideration may be that the employee may start his own business which can lead to competing against the former employer, including in stealing clients offering them a better deal, to the disadvantage of the former employer. A non-complete clause or agreement is one by which one party, normally an employee, agrees not to engage or start a similar business which may run against the employer and helps protect the employer from such incidents.This simple non-compete agreement PDF template secures the possible problems which may arise from the cases mentioned above. Use this non-compete agreement PDF template and modify to your preference and contention.

    Insurance Waiver

    Healthcare

    Insurance is usually offered by organizations to their clients, customers such as passengers, or employees. It helps protect the company or an institution in cases of fortuitous events incurring liabilities. However, insurance companies usually do not allow double insurances or it causes more problems rather than solutions where each provider will try duking out each other who shall be responsible to compensate the insured. Or it becomes an additional cost to the insured which may possibly be an expense they cannot afford. In such instances, the companies or institutions need to document that their subject who prefer to opt-out from the insurance that they offer. Thus, an insurance waiver is needed. This Insurance Waiver PDF template helps give clients, customers, or employees an option to opt-out from the insurance being offered by companies or institutions and helps document a formal request that the supposed insured shall not be part of the program offered by an institution to its clients and employees.

    Summer Camp Fee Waiver

    Consent Agreement

    With JotForm’s Summer Camp Fee Waiver PDF Template, children and teenagers in need of financial assistance can apply for a registration fee waiver.

    HIPAA Release Form

    Agreement

    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.

    Professional Physical Therapy Consent

    Healthcare

    You can use this Physical Therapy Consent Sample to design your own customized PDF template that will help you collect credible information from your patients.

    Release of Information

    Education

    Privacy is a prevalent issue nowadays where there has been enforcement of privacy laws such as GDPR and HIPAA. These laws provide protection to the person's privacy and thus, an organization or an individual cannot just use, process, or disclose someone else's information without the consent of the information owner. This is where a Release of Information form comes in. A Release of Information is a document signed by the authorizing person owner, allowing the recipient or holder of the information to disclose or use the information through the consent of the owner. In respect and with the rise of privacy laws on countries, it is safe to assume and has become a common practice that a release of information is needed before one can process the data of the owner. This Release of Information PDF template contains the necessary information that the owner consents to for the recipient to release information. This template can be used for processing to what specific kind of request is to be made, what information is to be released, and up until when the consent will maintain to be effective. To prevent any possible matters of litigation, it is best to exercise this practice of requiring the consent of the owner before processing the data of the person.

    Direct Deposit Authorization PDF

    Business

    This Direct Deposit Authorization PDF Template has the fields necessary for your Direct Deposit transaction. Please note, however, that routing and account numbers are highly sensitive information and thus, one should be careful in disclosing, as well as those who receive such information.

    Foster Application

    Consent Agreement

    Fostering an animal is beneficial for the pet, the shelter, and the fosterer. This is a memorable and gratifying experience for the fosterer since this requires commitment and responsibilities. This will also help in the recovery process of the animal.You can use this well-designed Foster Application PDF Template if you are a part of a foster home organization. This will enhance the fostering application process of the organization. The answers provided by the fosterer will determine if the application is approved or not.This Foster Application Template has information about the foster animal parent, household settings, preferences, commitments, responsibilities, references, and an acknowledgment waiver.

    Veterinary Surgical Consent

    Veterinary Service

    You should use this Veterinary Surgical Consent Form Sample instead of creating a consent form manually. Veterinary Surgical Consent Template has the pet information, owner details, surgery information, and authorization or consent that the medical staff requires the pet owner to start the surgery.

    Power of Attorney

    Consent Agreement

    A power of attorney is a document that proves as an evidence in a contract of agency. The attorney acts under the authority of the principal specifying the capacity of the former to which he or she may allow to perform and manage the affairs of the latter. The attorney here is not necessarily a lawyer but any person appointed by the principal, known as an 'Agent' to perform acts on the principal's behalf. Such authority may include disposition of properties owned by the principal, perform transactions which the principal has capacity to do so.There are different kinds of powers of attorney: A general power of attorney gives the agent general powers in the administration of the principal's properties, so for the agent to act on the principal's behalf. These powers include lease of properties, life insurance purchases, making gifts, general management of operation of businesses of the principal, including employment. Other countries prevent sale or disposition of real properties of the principal under this type of power of attorney. This is an effective document for the principal to do multiple tasks where he can delegate the others to his agent.Another type of power of attorney is a Special Power of Attorney, where the agent is only allowed to perform specific acts, or exercise limited power. This often is used for the disposition of properties of the principal where the agent can sell specific properties only. This is also for ensuring that the agent is properly empowered to manage the properties of the principal, including contracts for leases with a duration of at least one year.Another type of power of attorney is called a Durable Power of Attorney. This can be either be a special or general power of attorney which contains a so-called durability clause. This durability clause is for the purpose for cases when there is a change in the competence of the principal such as mental capacity due to illness or accident. Generally, without this clause, the power of attorney shall cease to be in effect. The inclusion of durability of the power of attorney shall define whether the enforceability of the contract shall subsist in such change of capacity of the principal. This Power of Attorney PDF template is a flexible template which may be used in different forms which can either be a general power of attorney, special power of attorney, or durable power of attorney. Take note that a principal can revoke a power of attorney at any time by notifying the agent and the parties whom the agent interacts with in writing. It is also wise that the principal to consult a lawyer for advice when executing a power of attorney in order to ensure that the document to be executed meets all the legal requirements in a State.

    Animal Surrender

    Veterinary Service

    Pet owners who would like to surrender their pet to an animal shelter will need to fill out an Animal Surrender sheet. This Animal Surrender sheet documents the transfer of responsibility of pet owners to the shelter. It also removes ownership of the animals and duly transfers it to the shelter. Keeping an Animal Surrender template will be very helpful and efficient if you are running an animal shelter company since creating new copy each time you have clients surrendering their pets is very time-consuming. Take advantage of this free Animal Surrender Template from JotForm. This has all the information needed to create an Animal Surrender template for your shelter and for the pet owners. You can edit the template, change the design, add pictures and logos, remove and add information if you need to.

    Background Check

    Human Resources

    Background check is an important process in most companies and other organization to verify and confirm applicant's information. It is an extensive review of applicant's background which includes personal information, employment, education, credit history, criminal records and many more. This is very important in hiring process because it helps the company identify qualifications of applicants. If you are looking for a background check template that you can use when conducting an investigation with your applicants, then try this free background check template from JotForm.This background check template has information such as name of applicant, address, telephone number, education, current and previous employment that authorizes the company to conduct an investigation using the information provided. You may, however, add or remove information from the template depending on the kind of investigation you want to achieve from your applicants.

    Camper Stay Over Permission

    Consent Agreement

    Parents or guardian always prioritize the safety of their kids. Permission from the parent/guardian is required if a camper will stay overnight in the camp. As a camp organizer, you can use this Camper Stay Over Permission Template and distribute it to the parents or guardians for them to sign in. This document can also specify camp rules, expectations, terms, and reminders.This wonderful Summer Camp Stay Over Permission Template shows the information about the camper, the parent/guardian, selected days of stay over, and the acknowledgment. It also has a signature field where the parent/guardian can sign.


    Why use an Online Medical Consent Form?

    Most hospitals use forms for this task, either with a paper-based form or an online form. And to make things easier for patients, some also add PDFs to the mix. But, designing a PDF output for submission data can take a lot of time, especially when building one from scratch. So, we came up with a collection of PDF templates that you can use as a Medical Consent form.

    Why use JotForm for your Medical Consent Forms?

    Since JotForm is HIPAA-compliant, privacy and security won’t be an issue. To top it all off, we offer signature widgets that can be included within the form. This, in turn, will be displayed in the PDF file as well. A well-designed medical consent form will collect information about the parent or guardian, the patient, a brief medical history including, but not limited to, medication, illnesses, allergies, special needs, and the particulars regarding the patient’s health insurance. It can also ask for a list of medical treatments you would allow the caretaker to consent to in your absence if required (for instance, a blood transfusion or a surgery).

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    Disclaimer

    Nothing on this site is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment.