A financial consent form is a contract between a medical practitioner and a patient that allows the practitioner to collect fees from the patient. It is typically signed after a consultation between the patient and the practitioner. It is possible for the practitioner and the patient to agree to waive any fees, or to defer payment of fees until the patient becomes capable of paying. Consent forms are used in family medicine and general practice, as well as in specialties such as orthopedics and ophthalmology.
Whether you’re a hospital, healthcare practice, or medical center, use this free financial consent form to streamline your medical billing process! Simply customize the document to match your needs — then send a copy to patients when they schedule an appointment. Either embed it to your website, share it as a stand-alone or QR code.