- Activity Consent Form
- Ambulance Checklist Form
- Ambulance Transfer Form
- Authorization for Disclosure of Protected Health Information
- Blood Donation Form
- Body Measurement Form
- Cancel Appointment Form
- Caregiver Consent Form
- Child Assessment Form
- Child Travel Consent Form
- Chiropractic Intake Form
- Client Consultation Form
- Dental Assessment Form
- Dental Claim Form
- Dental Insurance Form
- Dental Procedure Medical History Form
- Dental Records Release Form
- Dental Referral Form
- Dental Treatment Consent Form
- Dentistry Contact Form
- Doctor Appointment Form
- Doctor Diagnosis Form
- Doctor Referral Form
- Drug Prior Authorization Request Form
- Emergency Contact Form
- Endodontist Patient Registration Form
- Endodontist Referral Form
- Enrollee Prescription Drug Claim Form
- Exercise Consent Form
- Eyelash Extension Consent Form
- Facial Consultation Form
- Facial Intake Form
- Filming Consent Form
- First Aid Checklist Form
- Flu Vaccine Consent Form
- General Dentist Patient Registration Form
- Health Assessment Questionnaire
- Health Evaluation Form
- Health Insurance Claim Form
- Health Insurance Evaluation Survey
- Health Insurance Marketplace Statement
- Health Screening Form
- Health Survey
- Home Delivery Pharmacy Prescription Order Form
- Hospital Admission Form
- Hospital Discharge Form
- Hospital Evaluation Form
- Hospital Patient Satisfaction Survey
- Hospital Registration Form
- Immunization Exemption Form
- Immunization Record Form
- Immunization Waiver Form
- Indemnity Form
- Interview Consent Form
- Laboratory Test Request Form
- Landlord Permission Form
- Makeup Consultation Form
- Massage Therapy Consent Form
- Massage Therapy Intake Form
- Media Consent Form
- Medicaid Application Form
- Medicaid Complaint Form
- Medicaid Transportation Form
- Medical Card Application Form
- Medical Consultation Form
- Medical Examination Form
- Medical History Form
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- Medical Permission Form
- Medical Record Transfer Request
- Medical Records Release Form
- Medical Records Request Form
- Medical Reimbursement Bill Form
- Medical Reimbursement Claim Form
- Medical Release Form
- Medical Summary Form
- Medicare Application Form
- Medication Administration Record
- Medication List Form
- Medicine Order Form
- Mental Health Intake Form
- Newborn Questionnaire
- Nursing Assessment Form
- Nursing Home Application Form
- Nutrition Consultation Form
- Occupational Therapy Progress Note
- Online Bill Payment
- Online Medical Questionnaire
- Ophthalmology Referral Form
- Oral Surgery Patient Registration Form
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- Organ and Tissue Donation Form
- Organ Donation Form
- Parental Consent Form
- Pathology Request Form
- Patient Admission Form
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- Patient Demographic Form
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- Patient Exit Survey
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- Patient Intake Form
- Patient Note Entry Form
- Patient Nutrition Assessment Form
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- Patient Registration Form
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- Pediatric Consent Form
- Pedicure Consultation Form
- Pedodontic Patient Information Form
- Periodontal Referral Form
- Personal Representative Request
- Pharmacy Complaint Form
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- Photo Consent Form
- Photography Model Release Form
- Physical Therapy Evaluation Form
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- Police Medical Questionnaire
- Prescription Drug Claim Form
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- Psychiatric Evaluation Form
- Psychotherapy Intake Form
- Referral Request Form
- Request a Routine Medical Appointment
- Request for Access to Protected Health Information
- Request for Accounting
- Request for Confidential Communications
- 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
- School Medication Form
- School Medication Record
- Self Referral Form
- Skin Care Consultation Form
- Spa Consultation Form
- Sports Physical Form
- Statement of Disagreement
- Student Consent Form
- Student Insurance Claim Form
- Tattoo Consent Form
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- Test Report Form
- Testimonial Consent Form
- Travel Consent Form
- Universal Medication Form
- Veterinary Prescription Form
- Veterinary Release Form
- Video Release Form
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Informed Consent Form
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.
Customize template
See howProvide 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
See howAll 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
See howOur 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
See howManual 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.
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