Posts tagged " Consent Form "

Holistic Health Consultation Forms and Intake Forms

April 1st, 2019 Posted by Alternative Medicine, Consultation Forms, Holistic Health, Paperless No Comment yet
Holistic Health Consultation Forms

Many people come to alternative and holistic health practitioners, as a last resort and with some reservations. The popular press love to search out examples of malpractice and scare monger, after all fear is what sells newspapers. They are often in pain and unsure if you can help, a stressed or nervous patient is not an easy one.

So, if you are going to be able to really assist the people who need your help, they must be put at ease as soon as they walk in the door.

Of course, the reception is as comfortable and relaxing as possible, receptionists are trained to be efficient while putting people at ease, but there are the formalities to get done, and this can be an opportunity to give reassurance and confidence to your patients.

An initial holistic health intake form, consultation form and medical history need to be taken followed by a consent form and for people coming for the first consultation this can be stressful. Clipboards and forms have never put people at ease.

That is why iPEGS paperless forms are such an amazing tool for alternative medicine practitioners, everyone is so used to digital devices nowadays, and the forms can be filled in either at the clinic or from home online using a mobile phone, tablet or computer and submitted directly to the cloud. They are quick and easy and as they are digital, they can be made easier to read for patients with poor eyesight, by simply zooming in or increasing the text size.

As well as electronic signatures, you can add photos and you can add your own branding and logos. You can create the forms from scratch with the easy to use form builder, or if you are too busy or a bit of a technophobe then you can get one of the iPEGS technicians to do it for you.

Holistic Health Consultation Form

By giving patients the option to fill in their medical history from home you will often find the resulting information to be far more complete. After all, how many of us can remember what we were doing last Thursday let alone what medication we were on five years ago.

Many patients have had years of ill health, being pumped full of chemicals. We all know how hard it can be to distinguish the ailment from the side effects of medication, so a full history needs to be done. By giving patients time, you have the opportunity to get a fuller account of their health problems a few days before their appointment, and are therefore able to study them in advance, saving crucial time in the actual consultation, even having the time for conferring with colleagues at the earliest stage.

Of course, your patient is of primary importance, but they are not the only person in the room, consent forms are a must and in an increasingly litigious world, protect not only the patient but also the practitioner. Making sure that your patient knows what treatment they are receiving is just good practice, having their agreement to the treatment on file might at some time be vital.

Up until recently a paper based holistic health consent form, had to do, and has since the stethoscope was invented, however, 5 years after the event how easy will it be to find? If you need copies or originals will it be legible, let’s face it, medical practitioners are not known for their calligraphy.

Now again you may well have the most efficient system in the world, but unless filing is your idea of relaxation, it’s a huge pain. Paper files are costly in space and time, not to mention resources, both natural and financial. Being able to pull up a patient’s records instantly saves time and allows you to spend more face time with your patient. It’s not just about covering your back but also about preventing having to.

Electronic Consultation Forms

So how do I get a form completed and signed by my patient:

Using a tablet, iPad or Smartphone you can access your electronic forms through the iPEGS apps, even without a Wi-Fi connection or via iPEGS Web Forms on any device. Simply open the form that you wish to be completed and once signed save or submit it. This is perfect in a face to face situation, free from the barrier, that a clipboard can create.

You can also send the medical history and/or consent form to the patient or guardian prior to their appointment using iPEGS Remote, again via email as a web form or via the free app. They would receive this form on their smartphone, or any device connected to the internet and complete, sign and submit back to you.

Is my patient’s information safe, what about data protection laws and GDPR?

Many laws states that patient records must be kept secure and confidential at all times. The UK data protection regime is set out in the DPA 2018 which replaces the Data Protection Act 1998, and came into effect on 25 May 2018, along with the GDPR (which also forms part of UK law). The law applies to any ‘processing of personal data’, and will catch most businesses and organisations, whatever their size and the law provides stronger protection for more sensitive information such as health related data.

All data submitted via iPEGS is encrypted, transmitted and stored securely. iPEGS is Cyber Essentials and IASME GDPR Governance Standard Certified so you can be confident your data is secure.

You can sign up for your free iPEGS Remote account and get 5 free form credits or sign up to the 30 day free trial of iPEGS Direct via the website.

Or if you would like to discuss the various options why not book in a call here or feel free to drop me an email: steve @ ipegs.co.uk

If you practise alternative medicine or holistic health therapies then why not go paperless today, reduce your carbon footprint, become more efficient and have more time to focus on your patients.

Acupuncture Consent Forms and Medical History Forms

March 11th, 2019 Posted by Acupuncture, Alternative Medicine, Consent forms, Consultation Forms, Medical History Form, Paperless No Comment yet

Medical History and Consent Forms in Acupuncture

As an Acupuncturist, you carry a huge responsibility for the welfare of your clients, many of whom have been suffering ill health for years. Often you are the last port of call, after mainstream medicine has failed to provide relief from a chronic condition.

Taking a thorough medical history of each new patient is your first step in providing for a patient’s needs, firstly you need to ensure that acupuncture is the appropriate treatment for your client. People often have an unclear idea of what acupuncture can do, after all acupuncture is not a miracle cure for anything, it is a science.

In obtaining their medical history, there is a need to gain a thorough understanding of a patient’s main complaint and general health and lifestyle. This involves asking questions about current symptoms as well as medical history, such things as sleeping patterns, appetite and digestion, emotional wellbeing. Women must be asked about their menstrual cycle and any past pregnancies and childbirth. The use of pharmaceutical products must be considered in detail, side effects are often hard to distinguish from the ailment. Some patients have suffered chronic conditions for years before considering acupuncture and have tried a series of treatments that have failed, so this medical history is a vital tool for achieving a successful outcome.

Getting that history can be a long and exhaustive process, you need to know as much about past treatments as possible and that can take time to remember.

Using an electronic medical history questionnaire that can be sent in advance to the client, can gain a depth of information that is hard to get in a first consultation. All this information needs to be recorded and considered thoroughly before a treatment plan can be agreed and put into place.

By using iPEGS Remote paperless forms you can send out the questionnaire a week before the first appointment. It is totally secure and can be customised to suit the patient. They can fill in the history and return it using any connected device, be it smart phone, P.C. or tablet.

People are so accustomed to using communications technology these days, filling in a form at home in their own time can be so much less stressful than in a busy surgery, with limited time.

As for the practitioner you are receiving a fuller history in anticipation of your first consultation, even having time to consult with colleagues, if necessary. There can be a due date set for the form to be returned for just that purpose, with reminders embedded in the process. Once the form is sent, it is automatically filed, unlike paper forms there is no possibility of it being mislaid. It is a permanent record of your patient’s history and current condition.

Once you have had the opportunity to study this and meet your patient, you can explain your findings to them and ensure that they understand. Informing them clearly of the nature and purpose of any proposed treatment you gain their consent to treatment. This of course needs to be recorded.

Although consent may in the past have been taken as implied by a patient’s actions in turning up and lying on the treatment couch, explicit consent is now considered essential.

The law states that, consent must be given by a legally competent person, in some cases the next-of-kin. It must be given voluntarily and must be informed.

You must be able to prove you have sought explicit consent and ensure that the patient has understood what you propose to do. This is particularly important where treatment may involve sensitive areas of the body. It may be construed as an assault to examine or even prepare to treat someone without consent.

You cannot delegate the obtaining of consent to a receptionist or unqualified assistant. Informed consent requires that you as the practitioner (or an appropriately qualified colleague) have explained the procedure, been available to answer questions and able to satisfy yourself that the patient understands what they have been told. So it is up to you the practitioner not only to personally supervise treatment but also consent to treatment.

Having proof of consent is of course part of your duty of care not only to your patient but also for your practice.

So a consent form must be signed very early on in the treatment process, again this consent form can be digital, secure and paperless. Using the iPEGS paperless forms, consent can be rapidly given, directly on to a tablet or even a mobile phone, even including a photo for confirmation. Instantaneously becoming a matter of record.

By using a iPEGS digital consent form, you can customise the form in real time, making changes without having to wait on printers, receptionists etc, time saved can be used in treating the patient, which after all is the object of the process.

Storing these Forms is also more complex than you might imagine.

You may well know you are legally required to keep patient records for a minimum of seven years. In the case of minors’ records must be kept until the patient reaches the age of twenty-five (seven years after reaching eighteen). Did you know that this applies even when you have referred the patient on, or you have left the practice where you administered the treatment?

There is also a legal requirement to retain original records which applies in the buying and selling of a practice and even with a patient’s consent, you must only pass on copies of the records, not the original notes?

Making copies of thousands of paper records is a mammoth task, digitally using iPEGS it can be done in a fraction of the time. You may not envisage selling the practice, but you will want to retire sometime.

You must also ensure that patients are kept fully informed and offered appropriate choices about their continuing care and the safe-keeping and location of their original records. Knowing that they are secured gives peace of mind to you and your patient. Doing this with thousands of separate paper documents is literally a forest of wasted time and space.

Patient records must be kept secure and confidential at all times. The UK data protection regime is set out in the DPA 2018 which replaces the Data Protection Act 1998, and came into effect on 25 May 2018, along with the GDPR (which also forms part of UK law). The law applies to any ‘processing of personal data’, and will catch most businesses and organisations, whatever their size and the law provides stronger protection for more sensitive information such as health related data.

Wouldn’t it be useful to get fuller more reliable patient histories?

Can you really afford to take risks with your patient’s records?

Can you afford the space and time that paper forms take up?

Wouldn’t it be simpler and more efficient to go digital and paperless, like many of your colleagues in the health sector are now doing?

Would you prefer not to have the worry of a disgruntled patient with a lost consent form?

If your answer is yes to any or all of the above, or if you are not sure, then why not get in touch, and let iPEGS take you through the process of going paperless.

 

We are all busy, but sometimes we have to invest time to save it, for our patients and our practice.

Just follow the links on this page and you can be up and running digitally in less than the time of an average consult. If you feel that you have questions you need answered that are not covered on the site, why not book in a call at a time that suits you best? You can do this via the link below and let us walk you through how iPEGS can help improve your processes:

https://calendly.com/ipegs/15-minute-phone-call/

Or feel free to drop me an email: steve @ ipegs.co.uk