Patient Consent Templates

This form is used for requesting the release of medical records in the state of Hawaii.

This form is used for obtaining informed consent in the state of Mississippi. It ensures that individuals have been properly informed about the risks and benefits of a medical procedure or treatment before giving their consent.

This document gives authorization for the release of a patient's medical information in Nevada.

This form is used for obtaining consent from individuals in New Mexico who wish to receive a contraceptive implant.

This form is used for releasing medical records in Hawaii.

This Form is used for obtaining authorization to release protected health information in Alabama.

This document is used for obtaining informed consent from patients in Hawaii who are prescribed opioid pills. It outlines the potential risks, benefits, and alternatives to opioid medications.

This document allows the authorized release of psychotherapy notes in Massachusetts.

This document is used for authorizing the release of psychotherapy notes in a two-way transaction in Massachusetts. It is available in Haitian Creole.

This document is used for obtaining consent to disclose, transmit or examine a patient record in Yukon, Canada.

This form is used for consenting to artificial insemination in the state of New Jersey. It allows individuals to give their consent to undergo the procedure.

This Form is used for obtaining informed consent for initial opiate prescriptions in Washington state.

This form is used for authorizing the release of medical information in the state of Texas.

This type of template is prepared to arrange a transfer of an individual from one doctor to another.

This form is used for obtaining patient consent in the state of Illinois to collect and test evidence, or collect and hold evidence.

This form is used for obtaining authorization to release protected health information in the state of Delaware.

This form is used for authorizing the release of medical information in North Dakota.

This legal form provides a third party (someone other than the parent or legal guardian) the temporary right to seek and provide healthcare for the individual named on the form.

This document is used in Washington to obtain consent for the release of personal information. It enables individuals to authorize the disclosure of their medical or sensitive information to specific individuals or organizations.

This form is used to give permission for the release of personal information in the state of Arkansas. It allows individuals to authorize the sharing of their information with specific individuals or organizations.

This Form is used for obtaining consent to administer medical treatment or medications in the Northwest Territories, Canada.

This form is used for authorizing medical procedures in the state of Louisiana.

This form is used for consenting to receive the Covid-19 vaccine in the state of New Mexico.

This form is used for authorizing the release of medical information in South Dakota. It is required to give permission for healthcare providers to share your medical records with other individuals or organizations.

This document is used for obtaining consent for tele-intervention services in the state of Utah.

This form is used for providing informed consent for ICAP (Integrated Community Assessment and Planning) services in Washington state.

This document is used for informing individuals about their right to refuse medical treatment or procedures in the state of Arkansas.

Use this form to let your employer know the specific date on which you plan on returning to work.

This form is used to obtain consent from patients in Iowa for a liver ultrasound elastography procedure.

This document for obtaining consent for hormonal intervention therapy in the state of Iowa.

This form is used for obtaining authorization to release personal information in the state of Maine.

This form is used for giving consent to medical treatment in the state of Maryland.

This form is used for authorizing the use and disclosure of protected health information in Montana.

This document is used for clients in New Mexico to acknowledge their abnormal medical condition. It is available in both English and Spanish.