---
title: IV Vitamin Therapy Consent Form Template - Free Online Form | Paperform
description: Professional IV therapy consent form template for wellness clinics and medical spas. Collect patient info, medical history, treatment risks, and digital signatures securely.
url: "https://paperform.co/templates/iv-vitamin-therapy-consent-form"
type: static
generatedAt: "2026-03-28T00:44:17.453Z"
---

[← Back to free form templates](/templates/)    ![IV Vitamin Therapy Consent Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/iv-vitamin-therapy-consent-form.png)
    [Preview](https://_preview.paperform.co/ai-template/iv-vitamin-therapy-consent-form) [Use this template for free](/create?ai-template=iv-vitamin-therapy-consent-form)    [Consent & Permission Forms](/templates/category/consent-permission/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Fitness & Wellness](/templates/industry/fitness-wellness/)[Beauty & Salon](/templates/industry/beauty-salon/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Nutritionist](/templates/role/nutritionist/)     About this free form template
### Professional IV Vitamin Therapy Consent Forms Made Simple

IV vitamin therapy and nutrient infusion treatments have become increasingly popular wellness services offered by medical spas, functional medicine practices, wellness clinics, and integrative healthcare providers. Whether you're administering vitamin C drips, Myers' cocktails, NAD+ infusions, or custom nutrient blends, proper informed consent documentation is essential for patient safety and legal protection.

This **IV vitamin therapy consent form template** helps wellness practitioners, nurses, physicians, and clinic administrators collect comprehensive patient information, document medical history, disclose treatment risks, and obtain proper authorization before administering intravenous treatments. The form covers everything from allergy screening and contraindications to ingredient disclosure and potential side effects.

#### What This IV Consent Form Covers

This template is designed specifically for IV therapy providers and includes:

 - **Patient demographics and contact information** for accurate record-keeping
 - **Medical history screening** including current medications, supplements, and health conditions
 - **Allergy disclosure** to identify potential contraindications
 - **Treatment selection** with ingredient lists for common IV formulations
 - **Risk acknowledgment** covering potential side effects and complications
 - **Informed consent statements** confirming patient understanding
 - **Emergency contact information** for safety protocols
 - **Digital signature capture** for legally binding authorization

The form uses conditional logic to show relevant follow-up questions based on medical history responses, ensuring you capture all necessary information without overwhelming patients with irrelevant questions.

#### Who Benefits From This Template

This IV therapy consent form is ideal for:

 - **Medical spas and wellness centers** offering hydration therapy and vitamin infusions
 - **Functional medicine practitioners** providing integrative treatments
 - **Naturopathic doctors** administering therapeutic nutrient protocols
 - **Concierge medicine practices** delivering mobile IV services
 - **Sports medicine clinics** supporting athlete recovery and performance
 - **Anti-aging clinics** offering NAD+ and longevity treatments
 - **Holistic health centers** combining IV therapy with other modalities

#### Why Paperform for Medical Consent Forms

Paperform makes it easy to create professional, compliant consent forms that match your brand and streamline your intake process. Unlike static PDFs or clunky medical software, Paperform gives you:

**Beautiful, on-brand experiences:** Customize fonts, colors, and layouts to match your clinic's aesthetic. Add your logo, treatment photos, and wellness imagery to create forms that feel like a natural extension of your brand, not generic medical paperwork.

**Smart conditional logic:** Show ingredient lists only for the treatments patients select, display follow-up questions based on medical history responses, and create a personalized experience that reduces form abandonment and improves completion rates.

**Secure data collection:** With **SOC 2 Type II compliance** and HIPAA-aware security practices, you can trust that sensitive patient information is protected. Set up encrypted data storage, control who has access to submissions, and maintain proper audit trails.

**Seamless integrations:** Connect your consent forms directly to your practice management software, CRM, or patient records system. Use native integrations or **Stepper workflows** (stepper.io) to automatically create patient files, trigger appointment confirmations, send pre-treatment instructions, or notify your clinical team when new consents are submitted.

**Digital signature capture:** Use **Papersign** (papersign.com) to turn submitted consent forms into formal signature documents. Send follow-up agreements, treatment plans, or additional authorizations for secure eSignature, keeping everything linked to the original intake form for a complete audit trail.

**Mobile-friendly completion:** Patients can complete consent forms on their phones in your waiting room, from home before their appointment, or even during a consultation. The responsive design ensures a smooth experience on any device.

#### Streamline Your IV Therapy Practice

For wellness clinics and IV therapy providers, efficient patient intake isn't just about paperwork—it's about creating a premium experience that matches your high-quality treatments. This template helps you:

 - **Reduce no-shows** by collecting consent and medical history online before appointments
 - **Speed up check-in** with pre-completed intake forms ready for clinical review
 - **Improve safety protocols** with comprehensive allergy and contraindication screening
 - **Protect your practice** with clear risk disclosure and documented informed consent
 - **Enhance patient experience** with professional, easy-to-complete digital forms

#### Automation That Works for Healthcare

Use **Stepper** to automate what happens after a patient submits their consent form:

 - Create a new patient record in your practice management system
 - Send appointment confirmations with pre-treatment instructions
 - Notify your nursing team when a new consent is ready for review
 - Flag high-risk patients based on medical history responses
 - Schedule follow-up communications for post-treatment care
 - Sync data to your CRM for marketing and retention campaigns

These workflows run automatically, reducing administrative burden and ensuring nothing falls through the cracks.

#### Customize for Your Specific Treatments

While this template covers common IV vitamin therapy protocols, you can easily customize it for your specific offerings:

 - Add your proprietary infusion blends and ingredient lists
 - Include pricing calculations for different treatment packages
 - Integrate booking functionality to schedule appointments
 - Collect payment deposits to reduce no-shows
 - Add post-treatment surveys to track outcomes and satisfaction
 - Include consent for photography if you feature patient results

#### Get Started in Minutes

With Paperform's intuitive doc-style editor, you can customize this template to match your practice in minutes—no coding or design skills required. Adjust the questions, add your branding, connect your tools, and start collecting compliant patient consents today.

Whether you're a solo practitioner offering mobile IV services or a multi-location wellness center with a full clinical team, this template provides the foundation for professional, efficient patient intake that protects your practice and delights your patients.

**Ready to modernize your consent process?** Start with this template and experience how Paperform makes healthcare administration actually enjoyable.
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