Legal template · 12 fields (9 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your consent form template
Please review the details and give your consent.
Put the full description of what is being consented to above the form, including risks and how to withdraw consent. Contact anyone who says they still have questions before you proceed, and keep signed copies.
The form separates phone number, date of birth, what are you giving consent for?, are you signing for yourself or someone else? into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Put the full description of what is being consented to above the form, including risks and how to withdraw consent. Contact anyone who says they still have questions before you proceed, and keep signed copies.
Customize the phone number and date of birth questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Ask only for information needed for this step. Arrange any sensitive supporting documents through an appropriate private process.
Every field, explained
Full legal name (Name, required)
Email address (Email, required)
Phone number (Phone)
Date of birth (Date, required)
What are you giving consent for? (Short text, required) — For example the procedure, activity or research study.
Are you signing for yourself or someone else? (Single choice, required)
Name of the person you are signing for (if applicable) (Name)
Your relationship to that person (if applicable) (Short text) — For example parent, legal guardian or power of attorney.
Have you had a chance to ask questions? (Single choice, required)
Acknowledgment (Multiple choice, required)
Today's date (Date, required)
Signature (Signature, required)
Frequently asked questions
What does this consent form template template collect?
Alongside contact details, it asks for phone number, date of birth, what are you giving consent for?, are you signing for yourself or someone else?, name of the person you are signing for (if applicable), your relationship to that person (if applicable), have you had a chance to ask questions?, acknowledgment, today's date, signature. You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this consent form template form?
Put the full description of what is being consented to above the form, including risks and how to withdraw consent. Contact anyone who says they still have questions before you proceed, and keep signed copies.
Can I customize the acknowledgment and signature fields?
Yes. Provide your complete reviewed instructions or terms before collecting signatures. The signature field records input; it does not verify identity or guarantee legal effect. You can edit the form and print a copy.