Consent for Botox / Dysport Treatment

Form Template

This Consent for Botox or Dysport Treatment Mobile App allows an office to provide information on Botox and Dysport procedures and capture the client's signature for informed consent.

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This form discusses that Botox injections and Dysport injections will help reduce frown lines, as well as other lines and wrinkles. The patient will also understand that certain allergic reactions could occur and that there are alternatives to injections such as prescription medicine and massages.

Use this app to inform clients about the potential medical effects and symptoms caused by these injections in a patient, such as pain and bruising. Establish consent for Botox and Dysport treatment, using this app to warn of other risks and complications that can be caused by the injections, like the eyelid ptosis condition.

This app can be downloaded to an iPhone, iPad, or Android device. All informed consent forms are securely stored in the GoCanvas Cloud and can be printed or emailed as a PDF.

  • 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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