I have patients sign forms before the appointment. With my EHR, they get the forms electronically when they book the appointment. I also have a video where I actually explain what it is they are signing. Every single one of my patients appreciates that because none of them understood their privacy rights and what HIPAA was until then and they also appreciate the transparency with the contract. A lot of people don't really read things before they sign, especially when given it at the time of the appointment, and I don't like that. I want people to really know the contract because this helps prevent issues later.