Platelet-Rich Plasma Therapy Patient Identity Verification Form

Streamline Your PRP Therapy Patient Verification with Paperform

Platelet-rich plasma (PRP) therapy has become an increasingly popular regenerative treatment for everything from hair restoration to joint pain and skin rejuvenation. But before you can administer this specialized procedure, you need a thorough patient identity verification and pre-treatment screening process.

This PRP therapy patient verification form template brings together everything you need: secure photo ID upload for identity confirmation, medical history screening, contraindications assessment, treatment area photography, and legally compliant informed consent—all in one professional, HIPAA-friendly workflow.

Built for aesthetic clinics, dermatologists, and regenerative medicine practices

Whether you're running a medical spa, dermatology clinic, orthopedic practice, or regenerative medicine center, this form helps you verify patient identity, screen for contraindications, and gather informed consent before PRP treatments. Instead of juggling paper intake forms, email attachments, and separate consent documents, everything is captured securely in one digital submission that's easy to review and store.

Automate follow-up with Stepper and Papersign

Once a patient submits their verification form, you can use Stepper to automatically trigger your next steps: send appointment confirmations, update your practice management system, alert your treatment team, or flag submissions that need additional medical review. If you need a signed treatment consent or agreement, Papersign lets you turn the submission into a legally binding eSignature document that's linked back to the original form for a complete audit trail.

Why healthcare providers trust Paperform

Paperform is SOC 2 Type II compliant and offers secure data handling, custom domains, and password protection—giving your patients confidence that their sensitive medical and identity information is protected. With conditional logic built in, you can show or hide questions based on treatment type, route high-risk contraindications for immediate review, and personalize the patient experience without any coding.

Trusted by aesthetic clinics, dermatologists, wellness centers, and regenerative medicine practices worldwide, this template is designed to help you deliver safe, compliant, and patient-centered PRP therapy services.