Medical Joint Replacement Surgery Consent Form
About this free form template

Streamline Joint Replacement Surgery Consent with Paperform

Joint replacement surgery is a life-changing procedure that requires thorough informed consent documentation. Whether you're an orthopedic surgeon, surgical center administrator, or hospital administrator, obtaining clear, comprehensive consent from patients is both a legal requirement and an ethical obligation. This Medical Joint Replacement Surgery Consent Form template helps healthcare providers collect all necessary patient acknowledgments, surgical preferences, and risk disclosures in one professional, easy-to-complete digital form.

Why Digital Consent Forms Matter for Orthopedic Practices

Traditional paper consent forms create administrative bottlenecks, require physical storage, and can be difficult to read or incomplete. With Paperform, you can deliver a modern, branded consent experience that patients can review and sign from home or in your waiting room on any device. Forms are automatically saved, timestamped, and stored securely—creating a clear audit trail while reducing errors and improving patient understanding.

This template is specifically designed for joint replacement procedures including hip replacement, knee replacement, shoulder replacement, and other arthroplasty surgeries. It covers prosthetic material options, infection prevention protocols, anesthesia considerations, recovery timelines, physical therapy expectations, and comprehensive risk disclosures.

What's Included in This Template

The form guides patients through every aspect of surgical consent in a logical, easy-to-understand format:

  • Patient identification and medical history: Capture essential demographic information, emergency contacts, and relevant medical conditions that may affect surgery.
  • Procedure details and prosthetic options: Allow patients to review and confirm the specific joint being replaced, prosthetic material choices (metal, ceramic, polyethylene), and surgical approach preferences.
  • Infection prevention protocols: Ensure patients understand pre-operative hygiene requirements, antibiotic administration, and post-operative wound care to minimize infection risk.
  • Anesthesia consent: Collect consent for general or regional anesthesia and document any anesthesia-related concerns or allergies.
  • Risk acknowledgment: Present comprehensive disclosures about surgical risks including infection, blood clots, implant failure, nerve damage, and revision surgery possibilities.
  • Recovery and physical therapy expectations: Set clear expectations about hospital stay duration, pain management, mobility restrictions, and the critical role of post-operative physical therapy.
  • Alternative treatment options: Document that patients have been informed of non-surgical alternatives such as medication, physical therapy, or joint injections.
  • Patient signature and witness: Collect legally binding eSignatures from the patient, witness, and surgeon with automatic timestamping.

Perfect for Orthopedic Surgeons and Surgical Centers

This template is ideal for:

  • Orthopedic surgeons performing elective joint replacement procedures
  • Surgical centers and hospitals with orthopedic departments
  • Orthopedic clinics managing pre-operative patient preparation
  • Anesthesiologists working within orthopedic surgical teams
  • Healthcare administrators ensuring regulatory compliance and risk management

The form can be easily customized to match your practice's specific protocols, institutional policies, or state-specific consent requirements.

Integrate with Your Healthcare Workflow Using Stepper

Beyond collecting consent, you can use Stepper to automate what happens next. When a patient submits their consent form, Stepper can trigger a series of automated actions:

  • Add the patient to your surgical scheduling system or EMR
  • Send automated pre-operative instruction emails with timelines and preparation checklists
  • Notify your surgical coordinator and anesthesia team of upcoming procedures
  • Schedule follow-up physical therapy appointments automatically
  • Generate and store consent PDFs in your secure patient records system
  • Create task lists for pre-operative lab work, medical clearance, or equipment preparation

This automation ensures nothing falls through the cracks and keeps your entire surgical team aligned.

Secure eSignatures with Papersign

For practices that require traditional contract-style signatures or multi-party sign-off, you can use Papersign to convert the consent form submission into a formal eSignature document. This is particularly useful when you need separate signatures from the patient, legal guardian, witness, and operating surgeon, or when institutional policies require specific signature workflows.

Papersign creates a tamper-proof, legally binding signature trail that integrates seamlessly with your Paperform submission data, giving you the best of both worlds: easy data collection and formal signature documentation.

Compliance, Security, and Patient Privacy

Healthcare consent forms handle sensitive patient information, so security and compliance are paramount. Paperform is SOC 2 Type II compliant and offers robust security features including SSL encryption, secure data storage, role-based access controls, and comprehensive audit logs. While Paperform is not HIPAA compliant, many healthcare practices use it for pre-visit intake and consent workflows where PHI can be handled according to their institutional policies and data handling agreements.

Forms can be embedded directly into your practice website, sent via secure email links, or displayed on tablets in your clinic. All submissions are timestamped and stored securely, making it easy to retrieve consent documentation during audits or legal reviews.

Customization for Your Practice

Every orthopedic practice has unique protocols and preferences. This template is fully customizable:

  • Add or remove prosthetic material options based on your preferred implant manufacturers
  • Include practice-specific infection prevention protocols or antibiotic regimens
  • Customize risk disclosures to match your state's medical consent laws
  • Add conditional logic to show different recovery timelines for hip vs. knee vs. shoulder procedures
  • Include insurance authorization fields or surgical cost estimates
  • Integrate with your existing patient portal or practice management system

The Paperform editor makes customization simple—no coding required. Your marketing or administrative team can own the form and update it as protocols evolve, without waiting on IT or developers.

Improve Patient Understanding and Reduce Anxiety

Research shows that patients who fully understand their surgical procedure experience less anxiety and better outcomes. This digital consent form allows patients to review all information at their own pace, click on embedded videos or links for more detail, and ask questions before signing. Unlike rushed paper forms signed minutes before surgery, digital consent gives patients time to process information and engage meaningfully with their care plan.

You can enhance the form with embedded educational videos about joint replacement procedures, links to physical therapy preparation exercises, or downloadable guides for post-operative care—creating a comprehensive patient education experience.

Designed for Real-World Orthopedic Practice

This template was created based on real-world orthopedic consent practices and regulatory requirements. It reflects the information patients need to make informed decisions about joint replacement surgery while protecting your practice from liability. Whether you're performing 10 joint replacements a month or 100, this digital workflow saves time, improves documentation quality, and creates a better patient experience.

Trusted by healthcare practices worldwide, Paperform's form builder is designed for professionals who need compliant, secure, and beautifully designed forms without the complexity of traditional medical software. Join the thousands of healthcare providers using Paperform to modernize patient intake, consent, and administrative workflows.

Get started with this Medical Joint Replacement Surgery Consent Form template and transform your surgical consent process today.

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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
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