Electroconvulsive Therapy (ECT) Consent Form
About this free form template

Electroconvulsive Therapy (ECT) Consent Form Template

Electroconvulsive therapy (ECT) is a highly effective psychiatric treatment that requires thorough informed consent. Healthcare providers and mental health facilities need a comprehensive, legally sound consent form that clearly explains the procedure, potential side effects, anesthesia requirements, and treatment commitments to patients and their families.

Why Choose Paperform for ECT Consent Forms?

This Electroconvulsive Therapy Consent Form template is designed specifically for psychiatric hospitals, mental health clinics, and healthcare providers who administer ECT treatments. Built on Paperform, it ensures that all critical information is collected, documented, and stored securely while maintaining a professional, compassionate patient experience.

Paperform makes it easy to create medical consent forms that are both thorough and patient-friendly. Rather than overwhelming patients with dense legal documents, you can format information clearly with headings, paragraphs, and structured questions that guide them through the consent process step by step.

Key Features for Healthcare Providers

This template covers all essential elements of ECT informed consent:

  • Treatment explanation and procedure details presented in clear, accessible language
  • Comprehensive risk disclosure including memory effects, confusion, and physical risks
  • Anesthesia and medical requirements with pre-treatment screening questions
  • Treatment series commitment documentation and scheduling expectations
  • Alternative treatment acknowledgment to ensure true informed consent
  • Emergency contact information and medical history collection
  • Digital signature capture for legally binding consent documentation

The conditional logic built into Paperform allows you to show or hide specific questions based on patient responses—for example, asking follow-up questions about previous ECT treatments only if the patient indicates they've had them before, or requesting additional information about specific medical conditions that may affect anesthesia safety.

Streamline Your Consent Process with Automation

Healthcare workflows require coordination between multiple departments, and this is where Paperform truly shines. When a patient submits their ECT consent form, you can automatically:

  • Send confirmation emails to the patient with pre-treatment instructions
  • Notify the psychiatric team, anesthesiologist, and nursing staff
  • Create patient records in your EMR or practice management system
  • Trigger appointment scheduling workflows
  • Store signed consent forms securely for compliance and record-keeping

Using Stepper (stepper.io), Paperform's AI-native workflow builder, you can create sophisticated automation that routes consent forms through your approval process, flags high-risk patients for additional review, updates multiple systems simultaneously, and ensures nothing falls through the cracks between departments.

For facilities that require wet signatures alongside digital consent, Papersign (papersign.com) allows you to send the completed consent form for additional eSignature collection from family members, legal guardians, or witnessing staff members, keeping everything linked to the original submission.

Security and Compliance for Healthcare

Mental health providers need to trust that sensitive patient information is handled securely. Paperform is SOC 2 Type II compliant and offers robust security features including SSL encryption, data residency controls, and role-based access permissions. While Paperform is not HIPAA compliant, many healthcare providers use it for consent collection workflows that integrate with their HIPAA-compliant EMR systems.

The platform's audit trail capabilities ensure you can track when forms were submitted, by whom, and what information was provided—critical for maintaining comprehensive medical records and responding to any consent-related inquiries or legal requirements.

Perfect for Psychiatric Hospitals and Mental Health Clinics

This ECT consent form template is ideal for:

  • Psychiatric hospitals administering inpatient and outpatient ECT programs
  • Mental health clinics offering ECT as part of comprehensive treatment plans
  • University medical centers with psychiatric treatment and research programs
  • Private psychiatric practices providing ECT for treatment-resistant depression
  • Geriatric psychiatry specialists treating elderly patients with severe depression

The template can be easily customized to match your facility's protocols, add institution-specific language, incorporate your branding, and adjust the consent elements to meet your state or country's regulatory requirements.

Easy Customization and Brand Integration

With Paperform's document-style editor, you can modify this template in minutes. Add your facility's logo, adjust the color scheme to match your brand, include specific protocol details unique to your institution, or add custom fields for additional screening questions—all without touching a line of code.

The form works beautifully on any device, ensuring patients can review and sign consent documentation on tablets in your waiting room, on their phones at home during pre-admission, or on desktop computers during telehealth consultations.

Supporting Informed Consent with Clarity and Compassion

Obtaining informed consent for ECT is about more than just legal protection—it's about ensuring patients and their families truly understand the treatment, its benefits, and its risks. This template balances comprehensive medical and legal language with clear, compassionate communication that helps patients feel informed and supported as they make important treatment decisions.

By digitizing your ECT consent process with Paperform, you reduce administrative burden on clinical staff, minimize errors from illegible handwriting or missing information, and create a more professional, reassuring experience for patients during what may already be a stressful time.

Get started with this Electroconvulsive Therapy Consent Form template today and bring your psychiatric treatment consent process into the modern era.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.