Operations

Get consent forms signed before the appointment

“Consent forms get signed on a clipboard in the treatment room, which eats time and leaves paper we have to store.”

The short answer

Send the consent form for electronic signature when the appointment is booked, rather than handing over a clipboard on arrival. A form signed in advance removes the wait at the start of the visit, produces a timestamped record that is far easier to store and retrieve than paper, and stops appointments running late because someone is still reading page two.

  • ~3 hours/week back (estimated)
  • 35 minutes to set up
  • Medium difficulty

How we estimated that: Assumes 15 appointments a week and 12 minutes each of form handling, printing and filing. This is a model, not a measurement — check it against your own numbers, because if the assumption does not match your business the figure will not either.

What you'll need

  • Your booking or clinical system
    Many clinical systems include e-signature. Check before adding a separate tool.
    We have not checked this tool's pricing ourselves yet, so we are not quoting it. Confirm current cost with the vendor.
  • Jotform free tier
    E-signature is available on the free Starter plan, subject to limits. HIPAA features require Gold or above — this matters if the forms carry health information.
    Free until: A free Starter plan exists with standard features, but submission and signed-document limits apply and forms carry Jotform branding. The exact numeric limits are rendered in JavaScript and could not be read — check them on the pricing page before relying on the free tier.
    Watch the pricing: Paid plans start at $19/mo. IMPORTANT FOR CLINICS: HIPAA compliance features are available on Gold and Enterprise plans ONLY. A med spa collecting health information on a free or lower-tier plan does not have them.
    Pricing checked 2026-08-01 — source.
  • Documenso free tier
    Open source e-signature. Self-hosting needs technical capability — not for most clinics.
    Free until: 5 documents per month, up to 10 recipients per document on cloud free plan. Unlimited if self-hosted.
    Watch the pricing: Individual plan starts at $25/mo ($300 billed yearly) for 1 user unlimited docs; Teams plan is $40/mo ($480 billed yearly) for 5 users.
    Pricing checked 2026-08-02 — source.
  • DocuSign leanest paid option
    The recognised name. Worth it where you need the strongest audit trail.
    Watch the pricing: Personal plan ($10–$15/mo) is strictly limited to 5 envelopes sent per month. Standard plan is $25–$45/user/mo with an annual allowance of 100 envelopes/user/year. Web forms and payment collection require Business Pro plan ($40–$65/user/mo).
    Pricing checked 2026-08-02 — source.

We are not paid by any tool listed here. If a cheaper or better option exists, that's what you'll see.

Pricing above was checked between 2026-08-01 and 2026-08-02. 1 of these 4 entries is still unverified. Vendors change their terms without notice, and free tiers do get withdrawn. We take no money from any vendor listed here. If something on this page is out of date, tell us and we will correct it.

How to set it up

  1. Check what your existing system already does

    Clinical and booking systems increasingly include signature capture. Adding a second tool splits your records across two places, which is worse than slightly clunkier signing.

  2. Confirm the form is still valid signed electronically

    For most consent this is fine, but requirements vary by jurisdiction and by procedure. Confirm before you switch — this one is worth asking about rather than assuming.

  3. Send it with the booking confirmation

    Not the night before. People deal with it when they are thinking about the appointment, which is the moment they booked.

  4. Set one reminder for anyone who has not signed

    Twenty-four hours before. One reminder, not three.

  5. Keep the paper route available

    Some people will not sign on a phone. A clipboard in reserve is not a failure of the system.

  6. Check where the signed forms are stored and who can see them

    Signed health forms carry real handling obligations. Know where they live before you start collecting them.

Common questions

Is an electronic signature legally valid?
In most contexts yes, but this varies by jurisdiction and by document type, and health consent has its own rules. This is not legal advice — confirm for your setting before switching.
What does it cost?
Possibly nothing if your clinical system includes it. Otherwise free tiers exist with monthly submission limits; dedicated services charge per user or per envelope.
What about people who arrive without having signed?
Keep the clipboard. The gain is the eighty percent who sign in advance, not eliminating paper entirely.

Last reviewed 2026-08-01. Tools change — if something here is out of date, tell us and we'll fix it.

Related fixes

Stop repeating the same onboarding instructions

“Every time I sign a new client, I have to spend 20 minutes emailing them links, explaining what to expect, and answering the same basic questions.”

  • ~3 hrs/week back (est.)
  • 60 min setup
  • Operations

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