Physician Forms Library

Professional Solutions does not take a position regarding informed consent, or formally review or endorse any particular documents a practitioner is considering using in their practice. Informed consent is a process. It is the practitioner’s responsibility to know and follow the standards of care and ensure their patient is properly informed about, understands, and consents to treatment. 

Documents containing sample informed consent language are being provided here to help guide the practitioner in creating their own documents which meet the needs of their practice. Rules and laws may differ between states. Professional Solutions believes the practitioner is best served by contacting a health care attorney in their state for advice on the creation of any document they might use in their practice.

For further details on this position, as well as the elements of a well written consent form, please review our full statement.

Name of Form	Type of Form
Patient Satisfaction Survey	Form
Hepatitis B Vaccine Declination Form	Form
Dismissal from the Practice Letter	Letter
Breach Notification Letter	Form
Components of a Social Networking Policy	Policy
After-Hours Telephone Call Tracking Policy	Policy
Coverage Policy	Policy
Medical Record Retention Policy	Policy
Prescription Refill Policy	Policy
Referrals to Consultants Policy	Policy
Test Results/Referrals Tracking Log	Form
No-Shows Policy	Policy
No-Shows - Flow Chart	Policy
33 Measures for Use in Establishing Quality Performance Standards	Policy
Use of Cell Phones, Smartphones, PDSs, Laptops and Other Electronic Devices Letter	Letter
No-Shows Unable to be Reached by Phone Letter	Letter
Communication with Persons with Limited English Proficiency - Policy and Procedures	Policy
Components of a Physician Practice Medical Record Retention Policy	Policy
Stage I Meaningful Use Objectives and Associated Measures Table	Policy
Meaningful Use and EHR Certification Criteria	Policy
Handling an In-Office Emergency	Form
Confidentiality Statement Sample Form	Form
Employee Hire/Orientation Checklist	Checklist
Employee Exit Interview Assessment	Form
Cell Phone Sample Policy	Policy
Employee Confidentiality Form	Form
Medical Emergency Policy	Policy
Patient Confidentiality Policy	Policy
SOAP Note Form	Form
I PASS the BATON	Policy
Closing a Medical Practice Sample Letter	Letter
Americans with Disabilities Act (ADA)	Policy
HIPAA Communication Sample Form	Letter
COVID-19 Physicians Informed Consent	Form
Informed Consent for Telemedicine Services	Form
Termination of Care Policy & Procedures	Policy
Handling Non-Compliant patients	Risk Tips
Multi-Generational Workforce	Risk Tips
No Shows and Canceled Appointments	Risk Tips
Recognizing Clinical Clues	Risk Tips
Abusive and Non-Compliant Patients	Risk Tips
Call Coverage	Risk Tips
Deposition Guidelines for Answering Questions	Risk Tips
Deposition Testimony	Risk Tips
Disposing of computers and copiers	Risk Tips
Disposing of Xrays	Risk Tips
E-Communications	Risk Tips
Email and Communications	Risk Tips
In-Office Emergencies	Risk Tips
Medication Reconciliation	Risk Tips
Opioids and Risk Mitigation	Risk Tips
Prescription refills	Risk Tips
Referrals to Consultants	Risk Tips
Should You Charge Patients	Risk Tips
SOAP Note Format	Risk Tips
Successful Telemedicine Visits	Risk Tips
Termination Abusive Behaviour	Risk Tips
Termination Non-compliant Behaviour	Risk Tips
Trial Testimony	Risk Tips
Use of Scribes	Risk Tips
What to Say and not say-Unexpected outcome	Risk Tips
Cures Act Risk Tip Sheet 1: What is The Cures Act Final Rule	Risk Tips
Cures Act Risk Tip Sheet 2: The Cures Act Final Rule and FAQs	Risk Tips
Cures Act Risk Tip Sheet 3: The Cures Act Final Rule and Information Blocking	Risk Tips
Cures Act Risk Tip Sheet 4: Compare Cures Act Final Rules to HIPAA	Risk Tips
Cures Act Risk Tip Sheet 5: Cures Act Final Rule Best Practices	Risk Tips
Cures Act Risk Tip Sheet 6: The Cures Act Final Rule	Risk Tips
CBD Treatment Agreement	Form
Documentation Tips	Risk Tips
Anticoagulation Stop Request Form	Form
Mobile Device Security Form	Form
Practice E-Mail Policy	Policy
Discharge Summary Checklist	Checklist
General Medical Records Release Form	Form
Refusal of Treatment Form	Form
Breach of PHI Log	Form
Failed and Canceled Appointment List	Checklist
Inventory Inspection Log	Form
Patient Instructions for Sample Medications Given	Form
Samples Dispensed Log	Form
E-Communications Policy Checklist	Checklist