The Total Joint Replacement Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, orthopedic, joint replacement, arthroplasty, surgery. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Total Joint Replacement Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Provider / Practice:** ___________ **Patient Name:** ___________ **Date of Birth:** ___________ **Medical Record Number:** ___________ --- ## 1. Procedure Proposed **Joint to be Replaced:** ___________ **Side:** ___________ **Implant Manufacturer / System:** ___________ **Implant Bearing Surface (if applicable):** ___________ **Operating Surgeon:** ___________ **Facility / Hospital:** ___________ **Planned Surgical Approach:** ___________ --- ## 2. Diagnosis / Indication **Diagnosis:** ___________ Joint replacement is recommended after conservative measures (medication, physical therapy, injections, activity modification) have failed to provide adequate relief of pain and functional limitation caused by the above diagnosis. ---