Home
Forms Library
Mammogram consent form

Implant consent mammography form 2025

mammogram consent form Preview on Page 1

See details

4.6 out of 5

49 votes

The document is an Implant Patient Consent Form for Mammography, informing patients with breast implants about the procedure's risks and benefits. It explains that mammograms may not detect all changes due to implant interference, outlines the process of taking two sets of images, and discusses the rare possibility of implant rupture during the exam. Patients are asked to consent to the procedure by signing the form.

Here's how it works

01. Edit your mammogram consent form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out implant consent mammography form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the implant consent mammography form in the editor.
Read through the advisory carefully. It outlines important information regarding mammography with implants, including potential risks and procedures.
In the section provided, check one of the boxes to indicate your consent or non-consent for the implant mammography exam.
Sign your name in the 'Patient Signature' field to confirm your understanding and agreement.
If applicable, have the technologist or radiologist sign in their designated area.
Finally, enter the date of signing in the appropriate field before saving or exporting your completed form.

Start using our platform today for free to complete your implant consent mammography form effortlessly!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I sign my implant consent mammography form on iOS?

With DocHub, you can easily sign your implant consent mammography form or any other document on iOS, even without installing additional programs. You can access your DocHub account from any web-connected browser and complete and sign your document in any preferred method with just a few clicks.

How do you complete implant consent mammography form on iOS?

You need only an internet connection and a web browser to fill out your implant consent mammography form on an iOS phone. Open the DocHub website and authenticate. Then, add your file or choose it from the list in your dashboard. Then use our editing instruments to fill out your form and save all your adjustments. You can also send it to a dedicated recipient immediately.

What is informed consent for surgery?

Informed-consent documents are used to communicate information about the proposed surgical treatment of a disease or condition along with disclosure of risks and alternative forms of treatment(s), including no surgery.

What are the guidelines for implant imaging?

Even if you have no symptoms, you should have your first ultrasound or MRI at 5-6 years after your initial implant surgery and then every 2-3 years thereafter. If you have symptoms at any time or uncertain ultrasound results for implant rupture, an MRI is recommended.

What are the new FDA regulations for mammograms?

The new FDA rules mandate that facilities notify patients of tissue density in their mammogram reports to help get cancer detected sooner and patients aware.

Can you do mammo with implants?

The truth is having implants should not prevent you from being able to get a mammogram or cancer screening. Women with implants should follow the same screening mammogram guidelines as women who do not have implants, based on their age and risk factors.

Implant consent mammography form 2025

Here's how it works