Patient Forms & Consents
All the templates you could need
ALA Consent
Ensure safe, compliant IV antioxidant therapy with this Alpha Lipoic Acid (ALA) informed consent form.
$9.99 USD
AscleraĀ© (polidocanol) Injection Informed Consent
Ensure safe and compliant spider vein treatments with this AscleraĀ® injection informed consent form.
$9.99 USD
Benzodiazepine Therapy Agreement and Consent
Protect your practice and educate patients with this comprehensive benzodiazepine therapy consent and compliance agreement.
$9.99 USD
Blood Draw Consent
Protect your practice and inform patients with this simple, clear consent form for lab-related blood draws.
$0.99 USD
Brief Medical History and Informed Consent for Neuromodulators
Collect essential injectable screening data quickly with this brief neurotoxin medical history form.
$1.99 USD
Chelation Consent
Support compliant chelation therapy with this detailed consent form for heavy metal detox and cardiovascular care.
$9.99 USD
Confidential Skin Health Survey
Collect essential skin history with this confidential client intake form for facials and aesthetic treatments.
$3.99 USD
Consultation Form Template to Schedule
Streamline new consults with this fully customizable intake and scheduling form for functional and aesthetic clinics.
$1.99 USD
Credit Card Authorization Form
Simplify payments and protect your clinic with this easy-to-use recurring credit card authorization form.
$0.99 USD
Credit Card on File Agreement
Secure payments and reduce disputes with this clear, compliant credit card on file authorization form.
$0.99 USD
Dermal Filler Consent
Ensure patient safety and legal protection with this comprehensive dermal filler informed consent form.
$9.99 USD
Dermal Filler Consent for Products Containing Lidocaine
Ensure safe injectable treatments with this specialized consent form for lidocaine-containing dermal fillers.
$9.99 USD
Dermal Filler Patient History
Document medical history and screen for dermal filler contraindications with this detailed intake form.
$3.99 USD
Email and Text Communication Informed Consent Form
Protect your practice and patients with this essential consent form for digital medical communications.
$4.99 USD
Email to Patient - Discontinuation of Service: 30 day Emergency
Professionally communicate patient dismissal with this clear, compassionate service termination email template.
$3.99 USD
Email to Patients - Important Reminder: Annual In-Person Visit and Appointment Commitment
Encourage accountability and continuity of care with this professional patient reminder email template.
$3.99 USD
Email to Patient - Urgent: Action Required to Avoid Service Interruption - Late Payment
Handle patient dismissal professionally with this compliant, ready-to-use discharge letter for non-payment.
$3.99 USD
Human Growth Hormone (HGH) Therapy Informed Consent
Support legal compliance and informed decision-making with this detailed HGH therapy consent form.
$9.99 USD
Hyperbaric Oxygen Consent Form
Deliver safe, informed HBOT care with this comprehensive consent form covering all medical and safety considerations.
$9.99 USD
IV and IM Consent
Cover your legal bases and support informed care with this universal consent for IV and IM nutrient therapy.
$9.99 USD
IV Vitamin C High Dose Consent
Ensure clear, compliant care with this professional informed consent for high-dose intravenous Vitamin C therapy.
$9.99 USD
Laser Skin Tightening Treatments Informed Consent
Provide clear, compliant consent for laser skin tightening treatments with this professional downloadable form.
$9.99 USD
Lipodissolve Consent
Ensure patient understanding and protect your practice with this thorough Lipodissolve informed consent form.
$9.99 USD
Membership Agreement - IV
Protect your IV therapy business and streamline billing with this professional membership agreement template.
$9.99 USD
Microdermabrasion Consent
Ensure informed, safe microdermabrasion treatments with this clear and professional consent form.
$9.99 USD
Microneedling Consent
Protect your clinic and guide informed care with this comprehensive microneedling consent form.
$9.99 USD
NAD Consent
Ensure safe, transparent NAD+ therapy with this professional informed consent form for IV infusions.
$9.99 USD
New Patient Intake Form - Insurance Based
Collect complete insurance and medical details with this professional, all-in-one patient registration form.
$3.99 USD
New Patient Intake Form - Pain Management
Comprehensive intake form to guide personalized pain management care from day one.
$3.99 USD
New Patient Registration - IV
Streamline intake and collect essential health info with this professional IV therapy patient registration form.
$3.99 USD
Opioid Risk Tool
Assess opioid misuse potential quickly and effectively with this clinically validated risk screening tool.
$0.99 USD
Ozone Consent - Saline
Support informed care and clinic protection with this detailed consent form for IV saline ozone therapy.
$9.99 USD
IV Ozone Autohemotherapy Informed Consent
Ensure informed, compliant ozone therapy with this professionally written autohemotherapy consent form.
$9.99 USD
Payment Authorization Form
Secure recurring payments with ease using this professional, customizable patient payment authorization form.
$1.99 USD
Photo Release Consent
Protect your brand and secure patient permission with this ready-to-use photo and testimonial release form.
$0.99 USD
Pre-Procedure Questionnaire for Neuromodulator Injections
Ensure safe, compliant neurotoxin treatments with this structured pre-procedure screening form.
$3.99 USD
Program Cancellation Template
Simplify your offboarding process with a structured cancellation form that protects your clinic and keeps records clean.
$1.99 USD
Release of Liability
Protect your practice with a legally sound release form that clearly outlines patient risk and provider liability.
$9.99 USD
Sclerotherapy Informed Consent for Treatment
Set clear expectations and protect your practice with this comprehensive consent form for cosmetic sclerotherapy.
$9.99 USD
Sculptra Injections Consent
Protect your practice and guide informed patient decisions with this comprehensive Sculptra consent form.
$9.99 USD
Stem Cells IV Joint Informed Consent
Protect your practice and inform your patients with this comprehensive, FDA-aligned consent form for stem cell joint therapy.
$9.99 USD
Subcutaneous Mistletoe Therapy: Informed Consent
A downloadable informed consent form for subcutaneous mistletoe therapy, designed for functional and integrative medicine practices.
$9.99 USD
Treatment of a Minor
Ensure legal and ethical care with this consent form for IV/IM therapy in minorsā€”fully compliant and parent-ready.
$3.99 USD
Treatment with Opioids for Non-Cancer related Chronic Pain Consent
Protect your practice and promote safe prescribing with this detailed opioid therapy consent and compliance agreement.
$9.99 USD
HIPAA Privacy Policy
A customizable HIPAA-compliant Privacy Policy template for healthcare practices to protect patient information and meet federal requirements.
$1.99 USD
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Empowering providers through functional, wellness, and aesthetic medicine education.
