Laser Therapy Waiver and Release

Form Template

This Laser Therapy Waiver and Release mobile app is used by a health care physician or nurse practitioner to provide information on laser therapy and to capture patient information for informed consent.

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The app informs the patient of short term effects, possible permanent effects of light treatment, potential discomfort, the effect of ultraviolet light, and more. Also captures the patient's signature to indicate the patient agrees to the information provided on the procedure and that the risks have been reviewed.

All liability waiver forms are securely saved in the GoCanvas Cloud and can be emailed or printed as a PDF if you need to share the release form with others.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
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  • Windows
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