CT Signature for healthcare

E-signature for healthcare consent forms.

Patient consent, release-of-information, intake paperwork, advance directives — signed on any device, captured with a tamper-evident audit trail, and stored under HIPAA-aligned controls. The intake clipboard becomes a link the patient signs before they arrive.

Get early access What's included

Pre-arrival: Patient signs before walking in
HIPAA-aligned: Encryption + audit + BAA
ESIGN/UETA: Legally binding for healthcare

What clinics send

Every consent and intake doc

Drop in your existing PDFs, drag fields onto them, send. The intake packet becomes a link patients complete before they show up.

Patient intake packets
HIPAA authorization (release of information)
Informed consent for procedures
Advance directives and POLST forms
Telehealth consent

ESIGN/UETA

Legally binding

HIPAA-aligned

Encryption + audit

BAA available

For healthcare partners

Audit trail

Tamper-evident PDFs

Why this matters

Patient intake on a clipboard is the slowest part of every appointment.

A new patient arrives 15 minutes early because the practice asked them to. They get a clipboard with eight forms: intake history, HIPAA authorization, consent to treat, financial responsibility, privacy practices acknowledgement, release of information, telehealth consent, and the practice's specific consent for whatever procedure they're there for. They write their name eight times, their date of birth eight times, scribble signatures, hand it back. The intake staff types relevant fields into the EMR, scans the paper into the patient record, files the original somewhere it'll never be found again. The appointment is delayed.

CT Signature replaces the clipboard. The patient gets a secure link 48 hours before the appointment. They sign every form on their phone or laptop, with field validation that catches typos as they happen. The signed PDFs and audit certificate land in the patient's record before they walk in. The intake staff doesn't re-type, the patient doesn't re-sign, the appointment starts on time.

For healthcare-serving teams, the platform's HIPAA-aligned posture covers the technical safeguards that consent capture requires — encryption in transit and at rest, access control with audit trail, multi-tenant data isolation, and BAA coverage available for HIPAA-covered partners. The compliance posture isn't an afterthought; it's why the platform fits in healthcare workflows in the first place.

Why healthcare teams switch to CT Signature

Pre-arrival signing — intake done before the patient walks in
Reusable templates — your standard intake packet, ready to send
HIPAA-aligned — encryption, audit, BAA available
Audit trail — defensible if a consent is ever challenged
Field validation — typos caught at signing, not at intake

Capabilities for healthcare consent

What the platform delivers for clinical teams.

Reusable intake packet templates

Build your standard new-patient packet once as a template. Send it as a single link to each new patient. Different specialties, different procedure types, different visit types — template variants cover the variations without rebuilding from scratch.

Pre-arrival signing

Send consent forms 24-72 hours before the appointment. Patient signs at home, on their phone, on their schedule. Signed PDFs land in the patient record before they walk in. The clipboard ritual disappears; appointments start on time.

HIPAA-aligned security

Encryption in transit (TLS 1.2+) and at rest (AES). Role-based access control with multi-factor authentication. Multi-tenant data isolation. Audit trail on every action. BAA coverage available for HIPAA-covered partners as part of early-access onboarding.

Field validation

Required fields, format validation (date of birth, insurance ID, phone numbers), and conditional fields (if you mark X, you must answer Y). Typos and missing data caught at signing, not after the patient has left.

ESIGN / UETA compliance for healthcare consent

Healthcare consent documents signed electronically hold up under regulatory and legal review. Consent disclosure, identity capture, intent-to-sign tracking, and tamper-evident audit certificates meet the standards healthcare regulators expect.

Tamper-evident audit trail

Every signed consent has a cryptographically signed PDF and audit certificate. If a patient or regulator later disputes whether a consent was given, the audit certificate documents who signed, when, from what device, and shows the document hasn't been altered. Defensible under any review.

What it looks like in practice

A few ways teams use this.

New patient onboarding before first visit

Patient schedules a first appointment for next Tuesday. Practice sends the intake packet link Sunday night. Patient signs Monday afternoon from their kitchen table — intake history complete, HIPAA authorization signed, consent to treat acknowledged, advance directive on file. Tuesday morning the patient walks in, the intake staff verifies ID, the appointment starts at the scheduled time.

Telehealth consent for video visit

Telehealth visit scheduled for tomorrow. Telehealth-specific consent (acknowledging limitations of remote care, jurisdictional rules, etc.) sent as a quick single-form link. Patient signs in 90 seconds. Tomorrow's video visit starts with consent already on file — no awkward 'before we begin, can you sign this?' moment that breaks rapport.

Procedure consent with photographs

Pre-procedure consent for an outpatient surgery. Consent form includes procedure-specific risks, alternatives, photographic permission for clinical documentation, and surgeon-specific signature blocks. Sent 72 hours pre-procedure. Patient reviews carefully (the platform tracks how long the document was open before signing — useful evidence for informed consent), signs. Surgical team has signed consent before the patient arrives.

Frequently asked

Common questions from healthcare teams.

Does CozziTech sign Business Associate Agreements (BAAs)?

Yes. BAAs are available for healthcare-serving partners as part of early-access onboarding. The BAA covers the specific HIPAA-aligned controls the platform provides — encryption, access control, audit trail, multi-tenant isolation — and the parties' respective Security Rule responsibilities.

Are electronic signatures legally binding for healthcare consent?

Yes, under federal ESIGN and state UETA laws, electronic signatures have the same legal standing as ink signatures for healthcare consent documents in all 50 states. Some specific document types (advance directives, certain DNR forms) have state-specific requirements that may require ink or notarization — consult state-specific guidance for those edge cases. CT Signature handles the typical consent and intake document categories without issue.

Can patients sign without creating an account or downloading anything?

Yes. Patients receive a secure email link, click to open the document on whatever device they have, and sign with their finger, stylus, or typed signature. No download, no account creation. Accessibility features support large-text and screen-reader workflows.

How does the platform handle intake forms with conditional questions?

Conditional questions are supported — 'if you marked yes to allergies, please list them.' The conditional fields appear when triggered and are validated. The signed PDF includes only the answered questions in clean format; the audit trail captures the full interaction.

What about minors and guardian-signed consent?

Multi-signer routing supports guardian + minor signing flows. Guardian signs first, with their authority documented; minor signs second (where developmentally appropriate) for assent. Each signer has their own field set and audit trail. The signed PDF documents both signatures with timestamps and attribution.

How are signed consent documents integrated with our EMR?

Standard exports for signed PDFs feed common EMR/EHR systems via document import. Direct integrations for specific EMR vendors are available for early-access partners with established healthcare workflows. The audit certificate is exported alongside the signed PDF for the patient record.

Move intake from clipboard to inbox.

Get on the early-access list and we'll set up your practice with your standard intake packet pre-loaded as a template — including BAA coverage.

Request early access Back to CT Signature