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SergioVO
Inspiring
February 21, 2023
Question

Dental Office Waiver Form

  • February 21, 2023
  • 4 replies
  • 1010 views

I have a web design client, a dentist who is requesting a PDF form which he intends to use as a waiver for his patients to sign, before undergoing dental procedures.

 

The intended workflow for the document would be:

 

  1. Doctor explains to the patient the procedure that will be performed on them.

  2. Doctor hands a tablet with a blank copy of the form to the patient, which they have to fill out with their name, date and e-mail, then write their initials on each of the ten clauses, finally proceeding to sign and clicking on a button to submit the form.

  3. A copy gets sent to the patient, and another copy gets sent to the clinic for their records.

 

Is a field where they could add their signature using their finger or tablet pen possible? Or would they need to sign by typing in their name once again?

 

Considering that the doctor wouldn't send the form to the patient over email, but would instead provide a blank copy preloaded in a tablet, what would be the ideal method to store the form?

Host it on a section of the clinic website?

Or would it make more sense to keep the PDF in the clinic's tablet?

 

Thanks in advance.

 

4 replies

Leo33542418k2ez
Participant
August 20, 2025

I just added a digital signature field and set it to lock the form after signing. That way, patients can’t change anything after they’ve signed. Super quick to set up.

Leo33542418k2ez
Participant
August 26, 2025

For storing, keeping the form directly on the clinic tablet works fine, especially if the doctor isn’t emailing it. Hosting on the website could work too but adds extra steps. Saw this setup at an Implant dentist in Eastlake OH place, patients filled and signed right on the tablet, and both copies went to them and the clinic without hassle.

Participant
March 7, 2024

 

Tooth 14, the left maxillary first molar, is a pivotal member of the dental family, standing as the vanguard of the upper jaw. Its emergence, typically between the ages of 13 and 15, marks a milestone in dental development. This stalwart tooth boasts an intricate anatomy characterized by four distinct cusps arranged in pairs: the prominent Mesiobuccal and Distobuccal cusps on the chewing surface, and the smaller yet equally essential mesiolingual and distolingual cusps on the lingual side.

Rooted firmly in the upper jawbone, the three fused roots of tooth number 14 serve as anchors, securing its position and safeguarding against dislocation. Functionally, tooth 14 plays a multifaceted role in oral health, facilitating proper bite alignment, efficient chewing, and aiding in speech articulation. Its collaboration with neighboring teeth, particularly tooth 13, fosters stability and balance within the dental arch.

As part of the upper quadrant trio, comprising teeth 12, 13, and 14, it contributes to the dynamic process of mastication and oral functionality. Understanding the nuances of tooth 14's anatomy and its pivotal role in dental dynamics is fundamental in providing comprehensive dental care and ensuring optimal oral health.

Eric Dumas
Community Expert
Community Expert
February 26, 2024

For a similar Medical purpose and facility, I used:

  • blank forms (pdf)
  • started and stored in SharePoint (secure and PDF as a template (read-only) to force the new one everytime.
  • Doctor has a tablet (MS Surface) to allow typing and 'finger signing'
  • Button to save and process (email...)
Amal.
Legend
February 22, 2023

Hi @SergioVO 

 

Hope you are doing well and thanks for reaching out.

 

To sign a PDF document or form, you can type, draw, or insert an image of your handwritten signature. You can also add text, such as your name, company, title, or the date. When you save the document, the signature and text become part of the PDF.

 

For more info, please go through the help page https://helpx.adobe.com/acrobat/using/signing-pdfs.html

 

Regards

Amal

 

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