PRP Consent Form Builder

PRPdose Clinician Tool

PRP Consent Form Builder

Create a customizable PRP informed consent form with procedure-specific language, screening options, risks and limitations, financial wording, clinic information, and reusable practice templates.

No sign-in needed to build and preview. Customize your PRP consent and see how it will look before creating an account. A complimentary clinician account is required to access the completed form, save clinic settings, download or print, or use electronic Patient Consent Mode.
Patient Privacy

PRPdose does not collect or save the patient information entered into this consent form. Patient information is used only to prepare the completed consent and is not retained by PRPdose as a patient record.

Clinic templates, branding, and other reusable practice settings may be saved to your PRPdose account. Save the completed consent directly to your practice's patient record system.

Already have a clinician account? Sign in now to see the full consent update as you build and to use your saved clinic defaults.
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1. Build a Customizable PRP Informed Consent Form

Start with an evidence-informed PRP consent framework, then tailor the procedure, screening workflow, financial language, and form sections to match your practice and patient. Common starting options are already selected and remain editable.

Procedure type
Clinic branding

PNG, JPG, or WebP. Your logo appears on the printable form and electronic patient screen.

Logo previewClinic logo preview

Upload a signature image for the signed-in clinician. It is saved only as a clinic-level default and is applied only after the clinician chooses Use Saved Signature for a specific consent.

Signature preview
How will this consent be used?
How does your practice handle medical screening?
Financial language
Level of detail

2. Customize Sections

Core consent sections start ON. Green and right means included. Black and left means not included.

Consent SectionsReview clinical guidance
Procedure & Practice Options

3. Procedure Defaults

Set your usual clinic workflow. These choices are saved with your template and can still be changed for an individual patient before consent.

4. Template Use Acknowledgement

PRPdose provides educational information and customizable template language. Your practice is responsible for reviewing and approving the final form for its own clinical, legal, institutional, payer, and malpractice requirements.

Looking for the evidence behind PRP screening and consent? Review PRP Contraindications & Informed Consent for evidence on medications, infection, cancer, hematologic conditions, pregnancy, procedural risks, and informed-consent considerations.