🩺 Google Forms consent form PDF

Generate consent forms from your Google Forms intake

Clinics, studios and schools need a consent record per person. AutoDoc creates it from your intake Google Form, files it privately in Drive, and emails a copy to the person who submitted it. A guardian consent form is added automatically for minors.

20 documents/day freeRuns in your Google accountNo code
Treatment Consent Form template
YOUR CLINIC NAME · Address · Phone
Consent to Assessment & Treatment
Ref.: {{_responseId}}Date: {{_date}}
Patient{{Patient Name}}
Date of birth{{Date of Birth}}
Reason for visit{{Reason for Visit}}
Parent / guardian{{Guardian Name}}
Consent
I consent to assessment and treatment as discussed with my clinician. I understand the nature of the treatment and that I may withdraw consent at any time.
Consent given{{Consent}}
Patient or guardian signature
Clinician
Sample wording only. Check it against your local regulations and professional body guidance.
▶ 1:42 demo

See it in action

A parent completes a clinic intake form on her phone; AutoDoc files the consent PDF and adds a guardian form because the patient is under 18.

Watch on YouTube →

How to automate consent forms from Google Forms

Four steps, all inside Google Workspace. Output: PDF.

1

Build the form

Copy the ready-made form, or create a Google Form with questions like these. The question titles become your placeholders.

Question titleTypeExample answer
Patient NameShort answerEthan Lim
Date of BirthDate2011-04-18
Reason for VisitParagraphAnkle sprain from football
Age GroupMultiple choiceUnder 18
Guardian NameShort answerGrace Lim
ConsentCheckboxesI consent to assessment and treatment.
2

Design the Google Docs template

Start from our Google Docs template (make a copy) or the .docx, or use your own. Type a placeholder wherever an answer should appear. It must match the question title exactly, in double braces. Built-ins such as {{_date}} and {{_responseId}} work too.

{{Patient Name}}{{Date of Birth}}{{Reason for Visit}}{{Age Group}}{{Guardian Name}}{{Consent}}{{_responseId}}{{_date}}
3

Connect it in AutoDoc

Open the form → Add-ons → AutoDoc. Pick the template and a Drive folder, choose PDF, and set the file name pattern:

Consent - {{Patient Name}} - {{_date}}

Result: Consent - Ethan Lim - 2026-10-29.pdf

3b

Add a conditional document (optional)

Generate Guardian consent only when:
Age GroupequalsUnder 18
Add a guardian consent form for minors.

Conditions support AND / OR groups and 13 operators, including equals, contains, exists, matches regex, > and >=.

4

Submit, and it’s delivered

Every new response creates the document in seconds, then emails it:

Consent forms for {{Patient Name}}
Thanks for completing your intake. Your consent forms are attached.
Consent - Ethan Lim - 2026-10-29.pdf

Tips for consent forms

  • Add a guardian consent template with the condition Age Group equals “Under 18”.
  • Leave “Share generated output files” off so records stay private to your Drive.
  • Use {{_responseId}} as a reference number on every page footer.

Who uses this

DOCX
Free Treatment Consent Form templatePlaceholders and form questions included
Get it

Frequently asked questions

Is patient data stored by AutoDoc?

No. Answers stay in Google Forms and your Drive. The log only records file names and status.

Can I keep the files private?

Yes. Leave automatic sharing off and pick a restricted folder.

Is a Google Form suitable for medical data?

Check your local regulations and your Google Workspace agreement before collecting health information.

Turn your Google Form into finished documents

Install free, pick a template and generate your first document in under 5 minutes. 20 documents a day free.

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