Standard consent form for release of personal information

• Sign Templates
• Consent Agreement
• Release of Information Template

Consent Agreement Templates

A consent agreement is a signed document that outlines the informed consent of a participant for a medical study, clinical trial, procedure, or activity. Whether you run a telemedicine practice, medical clinic, or need to collect waivers from activity participants, you can use our free Consent Agreement Templates to instantly turn form submissions into signed PDF consent agreements! By going paperless and seamlessly receiving e-signatures and informed consent online, you can simultaneously organize your records, reduce manual tasks, and streamline your workflow.

To get started, choose a Consent Agreement Template from the list below, customize the terms and conditions to match your company’s needs, and link it to a form that can be filled in by your patients or participants. Then when the form is filled out, the information will instantly convert into a PDF document — easy to download or print for your records. You can even use an autoresponder to send the PDFs to participants automatically!

Explore our 100+ free form integrations to automatically send your consent agreement PDFs to accounts you’re already using. Back up the documents in cloud storage platforms like Dropbox or Box, share them with teammates in project management apps like Trello or Slack, or add the agreements to existing contacts in CRM platforms like Salesforce or HubSpot. No matter what industry you’re in, you can use our Consent Agreement Templates to create a powerful automation system and speed up your workflow.

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Release of Information

Create a release of information document in seconds. Works great on any device. Easy to share and collect e-signatures. Drag and drop to customize. No coding needed.

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Professional Medical Release

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.

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Insurance Waiver

Create an insurance waiver for employees declining insurance coverage. Works great on any device. Easy to customize and share. No coding knowledge required.

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Doctors Note

Validate the medical condition of the patient by giving them a Doctor's Note Template. This PDF template shows the medical diagnosis of the patient and medical treatment.

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Hospital Discharge

The essence is that you can easily check the information saved in the PDF document to ensure a patient can be discharged. The hospital discharge letter template here can be modified to suit your taste.

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Rent Ledger

Track and save payment records by using this Rent Ledger Template and make your workflow payment process more efficient and more organized. This PDF file can be opened on any device and can be attached to an email message.

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NonProfit Donation Consent

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.

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Online Therapy Consent

Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.

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Interview Consent Agreement

Gather interview consent forms online. Can be filled out and signed on any device. Converts to a PDF instantly. Easy drag-and-drop customization.

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General Release of Liability Form

Instead of researching for long hours for constructing your own release of liability form, why not create your release of liability forms using this General Release of Liability Form PDF template? Just download this PDF template to your Jotform account and have it right to you in an instant!

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Medical Records Release Authorization

Build a medical records release authorization form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.

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Release of Liability Form

Create a release of liability form to ensure your company is covered in case of an accident. Signable on any type of device — desktop, tablet, and mobile friendly.

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Free Non-Compete Agreement

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.

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Summer Camp Parental Consent

Create a summer camp consent form for parents of your campers. Intuitive form building. No coding required. Drag and drop to design. iOS and Android compatible.

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Background Check

Create a custom background check form for your business. Converts into PDF. Easy to share and embed. Works on any device. Android and iOS compatible. No coding.

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Professional Physical Therapy Consent

Create a professional physical therapy consent form. Collect legally-binding e-signatures on any smartphone, tablet, or desktop. Easy to customize and share.

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HIPAA Release Form

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.

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Power of Attorney Form

A power of attorney form is a document that proves as 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.

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Veterinary Surgical Consent

Create a signable veterinary surgical consent form. Easy to customize and share. Works great on any device. Android and iOS compatible. No coding. Save time and paper.

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Professional Medical Consent

Create a signable professional medical consent form in seconds. Easy to customize. Fill out and sign on any device. Share via email. No coding knowledge required.

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Health Care Proxy Form

Don't wait for health problems to become your and your family's legal burden. Create your health care proxy form now with this Health Care Proxy Form PDF Template. Instantly create your document after filling up the form and print it right away. Get it here in Jotform!

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Release of Medical Information

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.

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Child Travel Consent Form

Create a child travel consent form for field trips and class outings. Get notified about responses instantly. Works for Android and iOS. Easy to customize.

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Summer Camp Permission Slip

Create summer camp permission slips for parents of your campers. Intuitive form building. Drag and drop to design. Works on desktop, tablet, and mobile devices.

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

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.

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