Medical Waiver Form

Protect yourself against medical liability with our medical waiver form. Use our form to securely gain consent for treating patients. Edit & share easily.

About this template

If you’re a medical professional, collecting patient consent is an essential step in the healthcare process. 123FormBuilder’s medical waiver form helps you ensure that you have permission to treat the patient and they’re aware of the risks involved without holding you liable for potential damages.

Frequently Asked Questions

What is a medical waiver of liability?

A Medical Waiver Form protects the medical professional if the patient suffers potential injuries. The patient signs the release before the medical care and consents after being informed of all the risks.

How to customize the template?

Healthcare centers can customize the Medical Waiver Form as they see fit. 123FormBuilder’s forms are highly customizable and don’t require any coding skills. So, you can keep the form short with just a few questions or make it more comprehensive by adding a section dedicated to inquiring about the patient’s medical condition or describing the risks associated with the medical treatment. Drag and drop to build it with just a few clicks, add your logo, add an electronic signature field, and share it online with your patients. You can even make your form multilingual by enabling the translation option.

How to publish the template?

Obtaining informed consent should be easy now that you’re done building your telehealth consent form. The way you share it with your patients is entirely up to you. If you prefer a more personal approach, send it by email. If you prefer to include it when they book an appointment, make it part of the scheduling process and have them sign and submit it with their request or as a second step. Once the patient has sent you their data, you can download the submission as a PDF or CSV for easy access.

How can I collect & manage data?

123FormBuilder has robust security measures that ensure you’re collecting ePHI safely and all of your data is securely stored. With data centers hosted on AWS, antispam protection, GDPR, and HIPAA compliance, and data encryption (to name a few of our security measures), you’ll have peace of mind that your patient’s data is well protected.

How can I optimize processes?

Automate collecting consent by reducing the need for physical visits to your medical facility (especially for people whose medical state doesn’t allow them to) with a positive impact on accessibility. Make it easy for the patient to give their permission from their mobile device in the comfort of their home and for your staff to safely and efficiently collect and handle ePHI, reducing human error and the waiting time in your lobby.

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