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Activity Consent Form
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Electronic Claim Form
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Endodontist Patient Registration Form
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Enrollee Prescription Drug Claim Form
Exercise Consent Form
Eyelash Extension Consent Form
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Field Trip Permission Form
Filming Consent Form
First Aid Checklist Form
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Flu Vaccine Consent Form
General Dentist Patient Registration Form
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Health Assessment Questionnaire
Health Checklist Form
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Health Insurance Marketplace Statement
Health Screening Form
Health Survey
Home Delivery Pharmacy Prescription Order Form
Hospital Admission Form
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Immunization Exemption Form
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Indemnity Form
Independent Contractor Form
Interview Consent Form
Laboratory Test Request Form
Landlord Permission Form
Makeup Consultation Form
Marketing Consent Form
Massage Health History Form
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Maternity Claim Form
Media Consent Form
Medicaid Application Form
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Medical Card Application Form
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Medical Examination Form
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Medical Record Transfer Request
Medical Records Release Form
Medical Records Request Form
Medical Reimbursement Bill Form
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Medical Release Form
Medical Summary Form
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Medicare Application Form
Medication Administration Record
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Member Reimbursement Form
Mental Health Intake Form
Newborn Questionnaire
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Nutrition Consultation Form
Occupational Therapy Progress Note
Online Bill Payment
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Ophthalmology Referral Form
Oral Surgery Patient Registration Form
Oral Surgery Referral Form
Organ and Tissue Donation Form
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Patient Monitoring Form
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Patient Nutrition Assessment Form
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Patient Revocation Request Form
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Pediatric Consent Form
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Pedodontic Patient Information Form
Periodontal Referral Form
Permission To Treat Form
Personal Representative Request
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Pet Boarding Agreement Form
Pharmacy Complaint Form
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Photo Consent Form
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Physical Exam Form
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Piercing Consent Form
Police Medical Questionnaire
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Project Approval Form
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Psychiatric Evaluation Form
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Psychotherapy Intake Form
Referral Request Form
Request a Routine Medical Appointment
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Request for Diagnosis and Treatment Code Information Form
Request for Restriction of Use and Disclosure of PHI
Request Routine Dental Appointment Form
Request to Amend Protected Health Information
Request to Inspect a Copy of Clinical Record
Request to Obtain a Copy of Clinical Record
Request to Restrict the Use of Confidential Information
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School Medication Form
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Sports Physical Form
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Statement of Disagreement
Student Consent Form
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Universal Medication Form
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Video Release Form
Volunteer Consent Form
Weight Loss Tracking Form
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Informed Consent Form Template

Are you performing a clinical research study? Then this informed consent form template may be used to sign up participants to your research directly online and from any device. Customize it without coding on 123FormBuilder. Add all the information that is needed about the study on the form and publish it with simple copy & paste.

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* Available Free

Customize template

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Provide the participants to a clinical research study the option to fill an online informed consent form. Our online templates are easy to configure by dragging and dropping any elements you need to have awesome forms out there and ensure a quality patient experience. You only need a few minutes to add branding options, a fresh design scheme, multiple users and custom autoresponders to your form.

Publish template

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All our templates are mobile-friendly and allow you to review data entries from anywhere, on the device of your choice. Publish them on web pages or share the form link via email. Design a multiple user structure so that your research team can collaborate in an effective manner.

Collect & manage data

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Our informed consent forms are HIPAA compliant. Participants’ data is encrypted and stored in a secure database and you control who has access to sensitive healthcare information. Data collections can be exported in Excel, CSV or PDF formats, or sent to third-party systems.

Optimize your flow

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Manual data entry is a thing of the past. Save time and go for medical research workflow automation with our digitized forms, data security protection, and stellar customer support.