Patient Identification
Full legal name, date of birth, contact information, and a government-issued ID reference to confirm identity and ensure the signed record matches the patient’s chart and billing information.
A procedure-specific consent form ensures patients receive clear, written information about Secret RF—its mechanism, realistic outcomes, and potential complications—so consent is informed, documented, and defensible.
Typical users include the treating clinician and trained clinical staff who review risks and alternatives with the patient before treatment.
Full legal name, date of birth, contact information, and a government-issued ID reference to confirm identity and ensure the signed record matches the patient’s chart and billing information.
Clear, plain-language explanation of Secret RF treatment, steps involved, device function, typical session length, estimated number of sessions, and expected timeline for visible results.
Concise list of common and rare adverse effects—redness, swelling, infection, scarring, pigment changes—and guidance on when to contact the clinic for complications.
Realistic description of expected benefits plus reasonable alternatives (no treatment, topical therapies, other resurfacing modalities) so patients can compare options.
Specific pre-treatment instructions (medication holds, skin prep) and post-care expectations (wound care, activity limits, sun protection) to reduce complications and support outcomes.
Patient signature, date, clinician signature, and a statement confirming that the patient has had the opportunity to ask questions and voluntarily consents to treatment.
| Field | Configuration |
|---|---|
| Authentication | Email link + SMS code |
| Template | Locked sections, editable notes |
| Notifications | Patient and clinic copies sent |
| Retention | Save as PDF/A in EHR |
Choose a signing platform that supports secure PDF rendering, audit trails, and integrations with your EHR or document repository.
Obtain consent before any non-emergency procedure
Parental or guardian consent required for minors
Keep records per HIPAA six-year rule
If using remote notarization, retain AV recording
Document post-treatment visits and complications
| 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 vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes (Business Premium) | Yes | Yes | Yes | Verify |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA available) | Yes | Yes | No | No |
The clinic preloads patient demographics and medical history into the consent template during check-in
A supervising physician adds a procedure addendum for high-risk skin types