Research & Clinical Trial Consent
Consent

Research & Clinical Trial Consent

2 pages•12 fields
Editable templateCustomize in minutes

Add your practice-approved consent wording before publishing.

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Research & Clinical Trial Consent

Research & Clinical Trial Consent

Page 1 of 2

Participant Name
Jane Martinez
Date of Birth
03/15/1985
Study Title & Description
Enter details here...
Study ID / Protocol Number
Principal Investigator Name
Jane Martinez
Expected Duration of Participation
Emergency Contact
Research Participation Consent

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

I agree to the terms above
Sign here
Right to Withdraw Acknowledgment

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

I agree to the terms above
Sign here
Compensation Details
Participant Signature
Sign here
Investigator Signature
Sign here
Submit
Use this template

Sign up and start customizing in minutes.

Start with the Research & Clinical Trial Consent template and tailor it to your practice. It includes 12 editable fields across 2 pages. Included questions: Participant Name, Date of Birth, Study Title & Description, Study ID / Protocol Number. 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

  • Participant Name
  • Date of Birth
  • Study Title & Description
  • Study ID / Protocol Number
  • Principal Investigator Name
  • Expected Duration of Participation
  • Emergency Contact
  • Research Participation Consent
  • Right to Withdraw Acknowledgment
  • Compensation Details
  • Participant Signature
  • Investigator Signature

Who uses this template

  • Clinical research sites and academic medical centers
  • Pharmaceutical company-sponsored trials
  • Medical device studies
  • University-based research programs

All form fields

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

Participant NameText
Date of BirthDate
Study Title & DescriptionLong Text
Study ID / Protocol NumberText
Principal Investigator NameText
Expected Duration of ParticipationText
Emergency ContactText
Research Participation ConsentConsent Agreement
Right to Withdraw AcknowledgmentConsent Agreement
Compensation DetailsText
Participant SignatureE-Signature
Investigator SignatureE-Signature

How to use the Research & Clinical Trial Consent

Getting started with this template takes just a few minutes. Sign up for a Formisoft trial, then select the Research & Clinical Trial Consent 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 Research & Clinical Trial Consent 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 12 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 12 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 Research & Clinical Trial Consent 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 Research & Clinical Trial Consent for your practice. Set up in minutes.

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Research & Clinical Trial ConsentUse this template