ASPS Informed Consents for Plastic Surgery

With more than 70 downloadable consent releases customized for each procedure and doctor in your practice, it’s easier than ever to help your patients understand the risks and benefits of plastic surgery procedures.

TouchMD is pleased to offer ASPS members who have purchased either the 2012, 2016, 2020, and 2022 ASPS Informed Consent Resources, and/or the 2018 Breast and Body Informed Consent Resources; access to formatted electronic copies in TouchMD Consent Library for use with the electronic consent feature.  Proof of purchase is required to activate the ASPS Informed Consent Resources in your TouchMD consent library.  For a complete listing of all consents available, please see the “ASPS Informed Consent Resource Library Content” section below.

Purchase Instructions

1. Log on to the ASPS portal at www.plasticsurgery.org with your ASPS member login
2. Select the “Shop” page
3. Under the “Practice Management/Marketing” section, select “Informed Consent Resources”
4. Purchase the “2020 Customized Informed Consent Resource Download”

Activation Instructions

To activate the ASPS consents in TouchMD, please provide proof of purchase using the following instructions (or email your receipt to [email protected]):

1. Log on to the ASPS portal at www.plasticsurgery.org with your ASPS member login
2. Select the “Shop” page
3. Under the “My Account” section, select “Order History”
4. Find your “Informed Consent Resource” purchase in the history and select “Order Details”
5. On the Order Details page, enter [email protected] into the “Send Email Confirmation” section, and select “Send” 
6. TouchMD support will send a confirmation within 24 hours that the ASPS Informed Consent Resources have been activated in your TouchMD consent library

Adding / Editing the ASPS Consents

1. Log on to the TouchMD dashboard at dashboard.touchmd.com with your TouchMD login
2. On the dashboard homepage, select the “Legal” option.  If the “Legal” option is not displayed, then you do not have the correct TouchMD security access to add/edit consent forms for your practice.  Please contact a TouchMD administrator in your practice for access.  For more information, please visit the Adding Staff Accounts and Setting Staff Security Roles help page.
3. Import the desired consents from the consent library:
   1. Select “Consent Library”
   2. Select the desired consents to import
   3. Select “Import Selected” 
4. Review and modify the imported consent to reflect your practice policies
   ASPS Consent Disclaimer

   These consent forms are for reference purposes only. It is a general guideline and not a statement of standard of care. Rather, this form should be edited and amended to reflect policy requirements of your practice site(s), CMS and Joint Commission requirements, if applicable, and legal requirements of your individual states. The ASPS does not certify that this form, or any modified version of this form, meets the requirements to obtain informed consent for this particular procedure in the jurisdiction of your practice. These informed consents are only samples and are being provided to our customers solely for the purpose of encouraging our customers to discuss the use of such a form with their attorney.

    
   TouchMD Consent Disclaimer

   TouchMD does not represent or warrant the legal sufficiency or enforceability of these sample consents. Please review and modify to fit your actual practice. By using these consents, you agree to indemnify and hold harmless TouchMD from any and all allegations, claims, actions, suits, demands, damages, liabilities, obligations, settlements, judgments, costs, and expenses which arise out of, relate to or result from any act, use, or misuse of these sample consents.

5. Update staff action “Doctor” references
   ASPS 2020 Forms or later: Provider (On Assign): 

Single Provider: If your practice only has one provider, you may want to opt to remove {{ProviderOnAssign|Select a Provider}} and replace it with the provider’s name (i.e. Jane Smith) on each consent or simply follow the steps listed below under “Multiple Providers” and just add the name of your provider.

Multiple Providers: If your practice has multiple providers, manage your Providers List by adding each provider to the list. Learn how to manage the Provider List by selecting here.

ASPS 2016 Forms or Earlier:  Select (On Assign):

1. 1. For a single doctor practice, replace the “SelectOnAssign” staff action code (example: Dr. {{SelectOnAssign|Select Doctor|Doctor One|Doctor Two}}) with the name of your Doctor (example: Dr. John Smith)
   2. For a multi-doctor practice, replace any “SelectOnAssign” staff action codes (example: Dr. {{SelectOnAssign|Select Doctor|Doctor One|Doctor Two}}) with the {{ProviderOnAssign|Select a Provider}} staff action code and then manage your Providers List by adding each provider to the list. Learn how to manage the Provider List by selecting here.
   3. Select “Save Changes”

6. When finished reviewing/updating your consent:

1. Remove the disclaimer text at the beginning of each consent and “Save Changes”
2. Click the preview button to view and verify all of your consent changes
3. Publish the consent for use by checking the box labeled “NOT PUBLISHED – Click to make this available for use”.Once published, the box will look like this:

Using the ASPS Consents

Please review the following help pages to learn how to use your ASPS Consents in TouchMD:

• Assigning Consents via TouchMD Dashboard
• Assigning and Signing Consents in the TouchMD Consult Application

ASPS Informed Consent Resource Library Content

ASPS 2022 Consent Informed Consent Resources Library

This library includes all consents in the 2020 library, plus the following updated and/or new consents:

Body

• Brachioplasty (Arm Lift)
• Calf Implants **NEW
• Clitoral Hood Reduction **NEW
• Pectoral (Chest) Implant **NEW
• Labiaplasty

Breast

• Breast Augmentation with Saline-Filled Implants
• Breast Augmentation with Silicone Gel-Filled Implants
• Breast Capsule Surgical Treatment
• Breast Implant Exchange **NEW
• Breast Implant Placement Following Breast Reconstruction by Tissue Expansion
• Breast Implant Removal
• Breast Lift (Mastopexy)
• Breast Reconstruction with Latissimus Muscle Flap
• Breast Reconstruction with DIEP Flap
• Breast Reconstruction with Tissue Expander
• Breast Reconstruction with TRAM Flap
• Breast Reduction
• Nipple Reconstruction Surgery
• Nipple Tattooing **NEW
• Off-Label Use of Acellular Dermal Matrices (ADMs)
• Saline Breast Implant Deflation **NEW

Face

• Breast Implant Placement Following Breast Reconstruction by Tissue
• Expansion **NEW
• Brow Lift
• Buccal Fat Removal **NEW
• Ear Lobe Surgery **NEW
• Lip Implant **NEW
• Surgical Lip Lift **NEW
• GAC Surgery
• Facial Feminization Surgery (FFS) **NEW
• Phalloplasty/Metoidioplasty Surgery (Bottom Surgery) **NEW

Hand

• Arthrodesis **NEW
• Arthroplasty **NEW
• CMC Arthroplasty **NEW
• Cubital Tunnel Release Surgery **NEW
• Microsurgery for Nerves **NEW
• Microvascular surgery **NEW
• Nailbed Reconstruction/Repair Surgery **NEW
• Platelet-Rich Plasma (PRP) Injection **NEW
• Upper Extremity (Arm/Wrist/Hand or Finger) Fracture Repair **NEW

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ASPS 2020 Consent Informed Consent Resources Library

This library is a complete upgrade from the 2016 library.  It includes streamlined consents provided by the ASPS that break out the ‘General Risks of Surgery’ and ‘Preoperative Patient Information’ into their own individual consents.  Additionally, we have updated these consents to work with new TouchMD features such as ‘optional text boxes’ and the ‘provider on assign’.   The packet includes all the following updated consents:

BODY

• Abdominoplasty Surgery (Tummy Tuck)
• Body Lift Surgery
• Brachioplasty (Arm Lift)
• Buttock Augmentation by Fat Transfer
• Buttock Augmentation with Implants
• Buttock Lift Surgery
• Calf Implant
• Fat Transfer, Grafts, and Injections
• Fat Transfer, Grafts, and Injections – Hand
• Fat Transfer, Grafts, and Injections – Breast
• Fat Transfer, Grafts, and Injections – Face
• Free Myocutaneous Flap Surgery
• Labiaplasty
• Liposuction – Includes Liposuctions, Ultrasound Assisted Liposuction (UAL), Water Assisted Liposuction (WAL), Power Assisted Liposuction (PAL), Laser Assisted Liposuction (LAL), VASER Liposuction
• Medial Thigh Lift Surgery
• Migraine Surgery
• Mini-Abdominoplasty Surgery
• Myocutaneous Flap Surgery
• Panniculectomy Surgery
• Vaginoplasty and Perineoplasty

BREAST

• Breast Augmentation with a Larger Implant than Recommended by Doctor
• Breast Augmentation with Silicone Gel-Filled Implants
• Breast Augmentation with Saline-Filled Implants
• Surgical Treatment of Breast Capsule Including Capsulotomy, Capsulorrhaphy and Capsulectomy
• Breast Implant Removal
• Breast Lift (Mastopexy)
• Breast Reconstruction with Latissimus Muscle Flap
• Breast Reconstruction with DIEP Flap
• Breast Reconstruction with Tissue Expander
• Breast Reconstruction with TRAM Flap
• Breast Reduction
• Gynecomastia Surgery
• Nipple Reconstruction Surgery
• “Off-Label” Use of Acellular Dermal Matrices (ADMs)
• Placement of Breast Implant Following Breast Reconstruction by Tissue Expansion
• FACE
• Blepharoplasty Surgery
• Brow Lift Surgery
• Congenital Reconstruction Cleft Lip – Cleft Palate
• Facelift Surgery (Rhytidectomy)
• Facial Fracture Repair (Skull, Orbit, Nose, Midface, & Jaw)
• Facial Implant Surgery
• Nasal Injury Repair Surgery
• Neck lift (Lower Rhytidectomy)
• Orbital Floor Fracture Repair Surgery
• Otoplasty Surgery
• Partial Facelift Surgery (Rhytidectomy)
• Rhinoplasty Surgery
• Septoplasty Surgery
• Tip Rhinoplasty Surgery
• Zygoma (Cheekbone) Fracture Repair Surgery

GCS

• Mastectomy (Breast Removal)
• Bilateral Female-to-Male Breast Change/Chest Shaping Surgery;
• Subcutaneous Mastectomy with Direct Excision versus Liposuction, Possible
• Vaser-Assisted Technique(s), Possible Free Nipple Graft
• Thyroid Cartilage Reduction Surgery

HAND

• Carpal Tunnel Release Surgery
• De Quervain Disease Surgery
• Dupuytren Disease Surgery
• Extensor Tendon Repair Surgery
• Flexor Tendon Repair Surgery
• Ganglion Cyst Surgery
• Tenolysis Surgery
• Trigger Finger Surgery

MISC.

• COVID-19 RISK
• Binding Non-Assignment
• General Risks of Surgery
• Hepatitis and Human Immunodeficiency Virus (HIV) Testing
• HIPAA Authorization of Patient Images
• Medical Records Release
• “Off-Label” Use
• Out-of-network Financial Responsibility
• Patient Photograph and Video Release
• Preoperative Patient Information
• Reflex Sympathetic Dystrophy
• Consent for the use of Telemedicine

SKIN

• Autologous Tissue Graft
• Botulinum Toxins—Botox®, Dysport®, Xeomin®, Jeaveau® Neurotoxins
• Chemical Skin Peels and Treatments
• Facial Volume/Filler Injection
• Hyaluronic Acid Filler Injection
• Kybella® – Deoxycholic Acid Injection
• Laser Skin Resurfacing Procedures
• Repairing Skin Defects with Skin Flaps
• Scar Revision Surgery
• Sclerotherapy
• Skin Lesion Removal
• Skin Graft Surgery
• Soft Tissue Filler Injection

SPA

• Cosmetic Tattoo
• Laser Skin Treatment
• Laser Hair Reduction
• Microblading
• Microneedling With or Without Platelet Rich Plasma (PRP) Application and/or Injection
• NLite Laser
• Permanent Lash Liner
• Skin Treatment (non-ablative)

TEMPLATE

• Blank Consent Template

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ASPS 2012, 2016, and 2018 Breast and Body Informed Consent Libraries

We recommend that you purchase the latest version of the ASPS Informed Consent resources to get the most up to date consents, and take advantage of the new consent features in TouchMD.