Informed Consent Statement
A concise declaration that the patient understands the diagnosis, treatment goals, alternatives, and voluntary nature of the procedure, written in plain language with space for questions and initials.
A clear, signed Invisalign Consent Form documents patient understanding, reduces litigation risk, and supports insurance claims and clinical continuity. Electronic signatures are legally recognized under the ESIGN Act (15 U.S.C. §7001) and by state UETA statutes when intent, consent, attribution, and reliable retention are demonstrated.
Dental clinicians, orthodontists, and administrative teams prepare and manage Invisalign Consent Forms during patient intake and treatment planning.
| Field | Configuration |
|---|---|
| Patient Name | Required text field; enable auto-fill |
| Consent Sections | Expandable sections; require acknowledgment checkboxes |
| Signature | eSignature field with date stamp |
| Authentication | Email plus SMS code or ID verification |
Electronic execution requires encrypted transport, access controls, and a detailed audit trail to show signer intent and attribution.
Obtain before performing any irreversible procedure
Guardian must sign before treatment for minors
Attach signed consent when filing prior authorization
Retention period begins on signature date
Provide signed copy within 24–72 hours if requested
A concise declaration that the patient understands the diagnosis, treatment goals, alternatives, and voluntary nature of the procedure, written in plain language with space for questions and initials.
Specific, procedure-related risks and their likelihood. Use clear wording to document that risks were explained and that the patient had opportunity to discuss concerns.
Planned procedures, estimated timeline, expected number of aligners, and potential adjunctive treatments such as attachments or interproximal reduction to set patient expectations.
Total cost, payment schedule, insurance estimates, and patient responsibility in the event of denials, so coverage assumptions are transparent and documented.
Notice of how protected health information will be used and shared; reference HIPAA protections and any required privacy authorization language.
Clear signature block for patient or guardian with printed name, date, and witness or notary fields if state law or clinic policy requires them.
| 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 | Yes, 7-day | No | No | Yes, limited | Yes, limited |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |