Due to COVID-19, we are asking all patients to please download and sign supplemental Health Questionnaire and Informed Consent forms. These forms can either be printed, signed, and brought to your appointment or emailed to firstname.lastname@example.org. Informed Consent only needs to be signed once, but a Health Questionnaire MUST be signed for each visit. Please feel free to contact us if you have any questions. Thanks!
Health Questionnaire and Informed Consent
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.