Informed Consent for Hemodialysis

Form Template

When faced with a life-threatening disease like kidney failure, it is important that a patient fully understands treatment options along with the risk factors and procedure of each treatment plan.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

This Informed Consent for Hemodialysis Patients Mobile App provides a comprehensive consent for use with patients undergoing dialysis treatment. This informed consent app can be tailored for facility-specific needs.

The details of the form include whether patients have been informed of treatment options and that they understand that dialysis is not a cure for kidney disease. The patient using this app can acknowledge the potential side effects such as infection, allergic reaction, or life-threatening complications that could occur while undergoing the treatment. The patient assumes additional responsibilities that accompany the procedure such as maintaining a recommended diet and taking medications. Through this form, the patient authorizes repeated hemodialysis treatments and promises to notify medical care team immediately if complications arise.

Use this contract app on an as-needed basis in the case of a prognosis of chronic renal failure as part of the informed consent process at a dialysis center. Inform each patient of adverse events that can occur during clinical dialysis services where medical decision-making is required for best patient care. For chronic kidney disease and renal failure, use this tool at a dialysis facility to best facilitate life-sustaining treatment and care according to hospital policies and procedures of medical treatment.

Need another dialysis form? Try our dialysis patient consent form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us