formisoft

Surgical Consent Form

Asks about procedure date, procedure description, and procedure site & laterality. Built for surgical practices across all specialties.

Questions
12
Pages
2
Time
about 3 min

Includes

  • E-signature
  • Consent agreement
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Your practice

Surgical Consent Form

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Surgical practices across all specialties
  • Ambulatory surgery centers
  • Hospital pre-operative departments
  • Outpatient procedure clinics

What's inside

Before you publish: Add your practice-approved consent wording before publishing.

Page 1 · Your information

  1. Patient NameText · Required
  2. Date of BirthDate
  3. Procedure DateDate
  4. Procedure DescriptionLong Text
  5. Procedure Site & LateralityText

Page 2 · Additional details

  1. Risks & Complications AcknowledgmentLong Text
  2. Alternative Treatments ConsideredLong Text
  3. Anesthesia TypeDropdown · 5 choices
  4. Surgical & Anesthesia ConsentConsent Agreement
  5. Patient SignatureE-Signature

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Surgical Consent Form, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 12 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Surgical Consent Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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