Procedure
Describe CO2 resurfacing depth, targeted areas, expected texture or tone improvement, and whether fractionated or fully ablative technique will be used.
A thoroughly completed Informed Consent clarifies expectations, documents patient understanding, and supports clinical decision-making while reducing legal and billing disputes.
The consent is completed by clinical staff and signed by the patient or authorized representative before CO2 laser resurfacing is performed.
Clinics should confirm identity, review medical history, and retain the signed copy in the permanent medical record.
Describe CO2 resurfacing depth, targeted areas, expected texture or tone improvement, and whether fractionated or fully ablative technique will be used.
List common and serious complications such as pain, redness, infection, scarring, hypo- or hyperpigmentation, and potential for multiple treatments.
Explain likely outcomes (e.g., reduced fine lines, improved texture) while clarifying that results vary and may require maintenance.
Note non-surgical options (topicals, chemical peels, fractional lasers) and the option to defer treatment pending further evaluation.
Provide wound care instructions, sun-avoidance guidance, expected healing timeline, and emergency contact procedures for complications.
Include signature lines, dates, clinician attestation, and space for witness or representative signatures if required by policy.
| Field | Configuration |
|---|---|
| Document Upload | Store PDF template; enable versioning to track updates. |
| Fields Placement | Place required name, DOB, initials, signature, and clinician attest fields. |
| Signer Authentication | Use email plus SMS code or stronger methods for patient identity verification. |
| Reminders and Retention | Auto-remind signers and set retention according to HIPAA and state rules. |
Choose a platform that supports secure PDF handling, audit trails, and appropriate authentication methods for patient identity.
Ensure the platform supports a HIPAA Business Associate Agreement if PHI is handled, and confirm audit logs, access controls, and export options.
Obtain the signed consent before topical or ablative treatment; same-day signing is common if adequate time for questions is allowed.
Where state or facility policy requires a waiting period, document when the discussion and signature occurred.
Record the clinician’s operative notes and any deviations from the consent, dated and signed.
Document post-op visits and patient-reported outcomes in the record for continuity of care.
If the plan changes, obtain an addendum signature documenting the new scope or risks.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |