Patient Inform Consent for SRP

Form Template

The Patient Informed Consent mobile app is a simple consent form designed specifically for scaling and root planning procedures performed as part of your periodontal disease prevention services.

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Instead of using paper consent forms for scaling and root planning, this handy app manages all the details of a standard periodontal treatment form electronically. Using the SRP consent form, patients can review details about the treatment, add their own details about medical conditions and give their consent for the periodontal therapy by signing the form electronically. Once completed, the information can be sent directly to the patient's medical records.

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

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