Juvederm Informed Consent Form

Form Template

This Juvederm Informed Consent Form app is used by specialists to provide information to clients about juvederm injection of hyaluronic acid as a dermal filler for skin wrinkles.

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The app informs the patient on what juvederm is as an injectable gel, what it does, how long it lasts, side effects, who should not use juvederm, what should be expected, post treatment procedures and more. Signature capture indicates that the patient agrees that all necessary information has been provided on the procedure, the risks have been reviewed, and that the patient's medical history is clear of risk factors of which the patient is aware.

Since a juvederm injection can lead to an allergic reaction or other adverse event, this inform consent form with information provided by patients can prevent unexpected negative outcomes, protect your practice's reputation and provide legal protection to your practice.

  • 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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