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Who signs a consent form

A Letter of Consent in MERIDIQ is signed twice. The client agrees to it first, and a practitioner at the clinic countersigns afterwards. Knowing that explains most of the questions clinics ask about consents.


📍 Where to find this: Clients → open a client → Letter of Consent


✅ What you can do


  • Understand which signature belongs to the client and which to the practitioner
  • Choose whether clients sign by drawing or by ticking a box
  • Work out why a consent a client already signed still shows as unsigned


✍️ The two signatures


A consent carries two separate signatures, and the article view shows both:


Signature

Who provides it

Where

Client signature

The client

In the clinic, on the Registration Portal, on the Booking Portal, or through a link sent by SMS or e-mail

Practitioner signature

A member of clinic staff

In MERIDIQ, using the Sign icon on the consent row


The client always agrees first. The practitioner countersignature is what marks the consent complete.


ℹ️ Download only appears on a consent once a practitioner has countersigned it. If the download icon is missing, the countersignature is what is missing.


🖊️ Letting clients draw a signature


By default a client accepts a consent by ticking a box that reads I, {name} hereby accept this consent. You can ask for a drawn signature instead.


  1. Go to General Settings → Registration.
  2. Find Use checkbox when signing letter of consent.
  3. Switch it off to collect a drawn signature, or leave it on for the tick box.


This applies everywhere a client signs, including the portals.


ℹ️ Clinics often ask whether a client signature can be added to a consent at all. It is already there. This setting only decides whether the client draws it or ticks a box.


📱 Consents sent by SMS or e-mail


When you send a consent from a client's page, the client receives a link, opens it on their own phone and signs there.


⚠️ The signed consent does reach the client's record straight away. It is created on the client the moment they submit it. What it does not have yet is your countersignature, so the list shows it as Unsigned until a practitioner signs it in the clinic. Nothing tells you it has arrived, so check the client's consents after sending one.


To finish it, open the client, find the consent and click the Sign icon.



A consent that has been signed cannot be deleted. Attempting it returns Cannot remove client letter of consent after signing it.


To withdraw one, use the Cancel icon on the row and add a note. The consent stays in the record marked Cancelled, with your note attached, which is what a clinical record should do.


💡 To change the wording of your consents, see Letter of consent setup. To send one to a client, see Send & manage consent forms.

Updated on: 20/08/2026

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