Medium

Available on

Apple Android Windows

Medical Consent to Treatment Mobile App

Medical consent paperwork can be a hassle. Luckily, there are apps designed specifically with healthcare professionals and patients in mind, to make the process of obtaining consent to treatment easier for both parties.

This mobile application offers healthcare professionals an alternative to paper-based medical consent and medical authorization forms. Use this app to get your patients to sign a medical consent for any investigation or procedure. The app lists out all terms and conditions, financial policies, notice of private practices, personal items, and patient acknowledgement. It is easy to customize this app, however, you should have your attorney review it before you using it with patients. Sign off in real time and speed up the process of treatment.

For more best-selling initial medical apps, come visit our initial medical apps category page!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Medical Consent to Treatment Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Enter Name of the Company/Medical Institution.

  • Ico statictext

    I am a patient at Medical Services.

  • Ico textbox

    My doctor needs medical facts about my health.

  • Ico statictext

    ask for and allow the doctors and staff of Medical Services to give me the needed medical treatme...

  • Ico statictext

    I understand treatment and services may include: lab tests, screening tests (tests that can find ...

  • Ico statictext

    My doctor may need to photograph or videotape me to learn more about my health problem.

  • Ico statictext

    I understand that no promises have been made to me about the results of any treatment or services.

  • Ico statictext

    Medical Services may release my health information to other doctors and staff who treat me.

  • Ico statictext

    Medical Services may release my health information to insurance companies or other companies that...

  • Ico statictext

    Medical Services may release my health information to companies that help Medical Services improv...

  • Ico statictext

    If I cannot be reached, a representative of Medical Services can give information about my test r...

  • Ico textbox

    Name

  • Ico textbox

    Phone Number

  • Ico textbox

    Relationship

  • Ico textbox

    Name

  • Ico textbox

    Phone Number

  • Ico textbox

    Relationship

  • Ico statictext

    I do NOT want my information given to my family, friends or others.

  • Ico textbox

    Initial

  • Ico statictext

    The doctors and other healthcare providers of Medical Services charge fees for the care provided ...

  • Ico statictext

    I know that my health insurance company may not pay the full amount of the fees charged by Medica...

  • Ico statictext

    If I have not given Medical Services the right health insurance information, then I may have to p...

  • Ico statictext

    If I do not have health insurance, then I will have to pay the fees for my care.

  • Ico statictext

    If I have paid Medical Services too much money for my care, then the dollar amount can be used to...

  • Ico statictext

    Medicare will only pay for the care that is acceptable and needed under section1862(a)(1) of the ...

  • Ico statictext

    Medical Services can bill my health and liability insurance companies for my care.

  • Ico statictext

    I voluntarily give Medical Services the last four digits of my social security number, if needed,...

  • Ico statictext

    Personal Items

  • ...and More!

Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!

App Name

Wrestling Parents Instruction in Medi...

This mobile app provides your club coach or administrator instructions on how to proceed if an athlete becomes injured or ...

App Name

Maintain Crash Cart: Emergency Admini...

The purpose of the Maintain Crash Cart: Emergency Administration Sets mobile app is to assist in maintaining crash carts ...

App Name

Surgery Supplies Purchase Request

Creating purchase order for all medical supplies needed for a surgery is now just a tap away! Get this app now, and improv...

App Name

Midwife Fertility Chart

The Midwife Fertility Chart Mobile App makes it easy for women trying to conceive to keep track of fertility and areas tha...

App Name

Birth Record Sheet Doula

Use a smartphone or tablet with the Birth Record Sheet Doula mobile app to document newborn births. The app records client...

App Name

Doula Release for Photos and Quotes

This Doula Release for Photos and Quotes Mobile App is designed for doulas to obtain timely consent from clients to share ...

App Name

Doula Client Intake Form

Doulas can use the Doula Client Intake Form mobile app with a smartphone or tablet to quickly and securely complete a pati...

App Name

Gastrostomy Tube (G-tube) Feeding

Gastrostomy is a procedure in which a feeding tube is placed within the stoma site (an opening in the stomach) to deliver ...

More Information