Texas Policyholders: Notice to policyholders recently affected by severe weather. 

Maryland Dental Policyholders: Notice to all dental policyholders in Maryland affected by the USPS mail delivery delays.

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
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
This website uses first party and third party cookies to improve your experience and anonymously track site visits. By visiting this website, you opt-in to the use of cookies. OK