Telemedicine Consent Form Template

Easily send and receive your telemedicine consent form template online. Send patients your consent form to fill out on their phone, tablet, or computer. Patients securely sign and submit completed forms directly to your account. Track the progress of telemedicine consent forms, send automated reminders, and receive completed consent forms online.

Telemedicine Consent Form Template

Telemedicine Consent Form Template

Give patients the freedom to sign telemedicine consent forms with any device, anywhere. Streamline the way you collect signatures and consent forms by setting up your form online. Easily personalize this telemedicine consent form template with a HIPAA compliant form builder.

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What is a Telemedicine Consent Form?

Telemedicine consent forms give patients information about the potential benefits, constraints, and risks (like privacy and security) of telemedicine. Telemedicine consent forms help the patient understand the risks and benefits of a telemedicine.

The purpose of the telemedicine consent form is to inform patients of their rights when receiving telemedicine, including the right to stop or refuse treatment. Telemedicine forms tell patients their own responsibilities when receiving telemedicine treatment.

Telemedicine involves the use of electronic communications to enable healthcare providers at different locations to share individual patient information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. Inform your patients of what will happen in the case of technology or equipment failures during telemedicine sessions, and state a contingency plan

The telemedicine consent form will often have a formal complaint or grievance process to resolve any potential ethical concerns or issues that might come up as a result of telecare, as well as describe the potential benefits, constraints, and risks (like privacy and security) of telemedicine.

More Online Medical Consent Forms

Streamline your consent forms online. Automate your paperwork. Start saving time and money.
Medical Consent Form Template

Medical Consent Form

Easily have patients complete your medical consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.
Medical Consent Form for Child Template

Medical Consent Form for Child

Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign HIPAA compliant online forms with their phone, tablet, or computer.
Telemedicine Consent Form Template

Telemedicine Consent Form

Easily have patients complete your HIPAA compliant telemedicine consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.
Telehealth Consent Form Template

Telehealth Consent Form

Collect telehealth consent forms online. Send your clients telehealth forms, give clients the ability to sign HIPAA compliant online forms with any device, anywhere.

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Telemedicine Consent Form Template Features

Setup your telemedicine consent forms online and streamline your process of collecting informed consent from patients.
Required HIPAA Compliant Online Form Fields
Required Form Fields

Always get the information you need with required fields. Patients can only submit telemedicine forms when they complete all of your required fields. Never receive an incomplete telemedicine form again.

Required Form Fields »

HIPAA Compliant Electronic Signature
Electronic Signatures

Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign telemedicine forms with their phone, tablet, or computer.

Electronic Signatures »

Card Photo Uploads

Have your patient take a picture of their insurance and ID cards. New patients will automatically upload a photo of their card information, so you can verify it before the appointment.

Card Photo Uploads »

Form Autocomplete

Have your patient enter information once and have it autocomplete throughout your telemedicine consent form online. Automatically populate PHI directly into additional fields and telemedicine consent forms.

Form Autocomplete »

HIPAA Compliant Online Form Submission
Online Form Submissions

Patients sign and submit forms securely to your online account. Review and manage completed telemedicine consent forms before the appointment.

Online Form Submissions »

HIPAA Compliant Conditional Logic Forms
Conditional Logic Forms

Only show information that is relevant to the patient with conditional logic telemedicine forms. Make it simple for your patients to complete your telemedicine consent forms and improve the accuracy of the data you receive with conditional logic.

Conditional Logic Forms »

Schedule a consultation with us to learn more

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms