Consent form reader
Read the consent form before you’re on the table.
A consent form read at the appointment is read under pressure. Ask for it ahead of time, then paste or upload it here. Each part is marked present, vague or absent, with the words it came from.
The full reader is off. Text you paste stays in this browser and is not sent. A PDF is uploaded only so its words can be pulled out. Photos are refused and are not uploaded.
Or upload it
Drop a PDF or up to 4 photos here, or
One PDF up to 20 pages, 4 MB. A PDF is the one thing that goes to this site’s server: only the server can open it and pull the words out. The words come back here to be read, and the file isn’t stored. Photos can’t be read at all right now — paste the words instead.
Nothing is sent anywhere. The reading happens in this browser, using rules that came with the page.
What a complete form usually covers
Twelve questions to ask of it
Forms vary by treatment, place and state. These are the questions worth putting to any of them — not a legal standard, and not a test a form passes or fails.
- 01
Does it name the procedure?
“Treatment” isn’t a procedure. The name is what every other line on the form hangs from.
- 02
Does it name the product or device?
A brand name can be looked up. “Neuromodulator” or “filler” on its own can’t.
- 03
Does it name who performs it, and their credential?
The person holding the needle or the device, and the license they hold, is something you can check.
- 04
Does it name a supervising clinician?
If someone supervises, the form is one place their name can be written down.
- 05
Does it list the risks?
“Risks may occur” names nothing. A list names what you’re being asked to accept.
- 06
Does it mention alternatives, including no treatment?
Including doing nothing. A form that describes only one option describes a sale.
- 07
Does it cover aftercare?
What you have to do afterwards, and for how long, is part of what you’re agreeing to.
- 08
Does it say who to contact after hours or if something goes wrong?
A name and a number for the night something changes — not the front desk’s opening hours.
- 09
Does it separate clinical photos from marketing use?
Clinical records and marketing are different uses. Ask whether you can agree to one and not the other.
- 10
Does it state refund and cancellation terms?
What happens to your money if you change your mind before, or aren’t happy after.
- 11
Is there a place to sign and date?
Yours and theirs, dated — and a copy you keep.
- 12
Does it say you had the chance to ask questions?
A line saying you had the chance to ask only means something if you got the form early enough to ask.