Consent

Genetic Testing Consent Form

2 pages•14 fields
Editable templateCustomize in minutes

Add your practice-approved consent wording before publishing.

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Genetic Testing Consent Form

Page 1 of 2

Patient Name
Jane Martinez
Date of Birth
03/15/1985
Test Type & Indication
Enter details here...
Scope of Testing Explained
Enter details here...
Potential Results & Limitations
Enter details here...
Secondary Findings Preference
Enter details here...
Family Implications Acknowledged
Enter details here...
Genetic Privacy & GINA Rights
Enter details here...
Specimen Storage & Biobanking Consent
Enter details here...
Research Data Sharing Consent
Enter details here...
Genetic Counseling Acknowledgment
Enter details here...
Right to Withdraw Consent

Practice setup required: Add your practice-approved wording for right to withdraw consent before publishing. Include the specific purpose and scope, and any applicable patient choices.

I agree to the terms above
Sign here
Patient Signature
Sign here
Ordering Provider Signature
Sign here
Submit
Use this template

Sign up and start customizing in minutes.

Start with the Genetic Testing Consent Form template and tailor it to your practice. It includes 14 editable fields across 2 pages. Included questions: Patient Name, Date of Birth, Test Type & Indication, Scope of Testing Explained. The full field list below shows what you will get when you add this template to your account.

Choose this template to open an editable form. Review the questions, keep only the information your practice needs, and add your branding. Preview the patient experience before sharing a link or embedding the form. Responses can be reviewed in Formisoft and exported as a PDF.

Add your practice-approved consent wording before publishing.

What's included

  • Patient Name
  • Date of Birth
  • Test Type & Indication
  • Scope of Testing Explained
  • Potential Results & Limitations
  • Secondary Findings Preference
  • Family Implications Acknowledged
  • Genetic Privacy & GINA Rights
  • Specimen Storage & Biobanking Consent
  • Research Data Sharing Consent
  • Genetic Counseling Acknowledgment
  • Right to Withdraw Consent
  • Patient Signature
  • Ordering Provider Signature

Who uses this template

  • Clinical genetics and genomic medicine programs
  • Hereditary cancer risk assessment clinics
  • Prenatal and reproductive genetics screening
  • Pharmacogenomic testing before medication therapy

All form fields

14 fields across 2 pages. Customize any field after signing up.

Patient NameText
Date of BirthDate
Test Type & IndicationLong Text
Scope of Testing ExplainedLong Text
Potential Results & LimitationsLong Text
Secondary Findings PreferenceLong Text
Family Implications AcknowledgedLong Text
Genetic Privacy & GINA RightsLong Text
Specimen Storage & Biobanking ConsentLong Text
Research Data Sharing ConsentLong Text
Genetic Counseling AcknowledgmentLong Text
Right to Withdraw ConsentConsent Agreement
Patient SignatureE-Signature
Ordering Provider SignatureE-Signature

How to use the Genetic Testing Consent Form

Getting started with this template takes just a few minutes. Sign up for a Formisoft trial, then select the Genetic Testing Consent Form from the template library. Review the included questions, customize your fields, and preview the form before sharing it.

Setup steps

  1. 1Choose the template. Find the Genetic Testing Consent Form in the template library and click “Use this template” to add it to your account.
  2. 2Customize fields. Add, remove, or reorder any of the 14 fields. Set fields as required or optional based on your practice needs.
  3. 3Brand it. Upload your logo, pick your colors, and add a custom welcome message so patients see your practice identity.
  4. 4Share with patients. Send the form via SMS, email, or embed it on your website. Patients complete it on any device before their visit.
  5. 5Review submissions. Responses appear in your dashboard in real time. Patient records are created automatically from the data collected.

Frequently asked questions

How does Formisoft protect responses?

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Can I customize the fields in this template?

Absolutely. You can add, remove, reorder, or modify any of the 14 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

How do patients fill out this form?

Patients receive a link via SMS, email, or QR code. They complete the form on their phone, tablet, or computer before their appointment. No app download required.

Can I send this form automatically before appointments?

With a plan that includes automation, you can configure workflows to send forms and reminders. Appointment-based sending requires the booking event to reach Formisoft.

Does this template work on mobile devices?

Yes. The Genetic Testing Consent Form is fully responsive and works on any device. Most patients complete intake forms on their phone, so every template is optimized for mobile-first use.

Start with this template

Sign up and start customizing the Genetic Testing Consent Form for your practice. Set up in minutes.

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