Insert Input Fields/Forms Into a Consent Form

Sometimes your practice has consent forms that require extra input from a client besides a signature. PracticeQ makes it easy to insert fields and forms.

Insert Fields

  1. Click My Forms and scroll down to the Consent Forms section.
  2. Open the consent form that requires input fields.
  3. Place your cursor where you want the input field to appear on the form.
  4. Click the Insert Field button on the toolbar, then select the appropriate field.

  5. Once the field is placed, complete the fields in the window that pops up.
  6. Click OK.

Insert Forms

  • PracticeQ lets you easily create custom consent forms containing fill-able fields without the need to know any HTML.
  • Below are the steps to create a consent form like the one displayed below.

  1. Click My Forms and scroll down to the Consent Forms section.
  2. Click Create New.
  3. Title your form HIPAA Release Form and select Rich Text Template.
  4. Click Continue.
  5. Type the centered title in a big font size. 
  6. Click Insert Form. This will open a dialog to build a mini form.
  7. Click Add Text Box twice to create two text boxes. Label the first one Patient Name and the second one Date of Birth.
  8. Click the gear wheel icon for the Patient Name item and set the width to Three Quarters.
  9. Click the gear wheel icon for the Date of Birth Item and set the width to One Quarter.
  10. Mark both fields as Required, so the form cannot be submitted if they are left empty.
  11. Click Add Fields.

  12. Follow similar steps to add Check Box Group and/or Radio Button Group questions.

  13. Your Form will look strange in the Form Content view, displaying odd characters in brackets. Do not worry; this is internal to PracticeQ only. Refer to the Preview below for a more accurate view.

  • The final result will look like this to your clients:

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