Forms

Forms

 

Medication Consent

Consent will be emailed directly to you following appointment.

Parents must complete medication consent for patients under 18.

No medications will be prescribed until consent is completed.

**During times of technical issues, medications will still be prescribed, being understood you understand all potential side effects and risk of prescribed medications including life threatening events.

 

Release of Information

Release of Information (ROI) must be completed if you wish to have records retrieved and/or sent to other providers and facilities.