Informed Consent for Image Treatments

Form Template

Capture patient consent quickly on an iPhone, iPad, or Android mobile device with this Image Treatment Informed Consent Mobile App.

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Use of this app is beneficial for any health care professional who assists patients in the decision-making process in regards to skin care regimens, such as acne, rosacea, and wrinkles.

You can include client information, medical treatment details, precautions, specific treatment plan, consent to treatment, and more. Also includes client signature capture. Each image consent form is saved in your GoCanvas Cloud account and can be shared as a PDF.

As a practitioner, use this app for clients who wish to participate in a skin care regimen with you. Use this app for obtaining data on skin condition and the skin situation that needs to be addressed, where this app provides written informed consent by a client that documents his or her understanding of risks involved with the procedure or regimen. Ensure good decision making by the client, where he or she is making a fully informed choice, guaranteeing patient autonomy through using this informed consent form.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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