Patient Information
If the patient is taking medication for another condition or has specific allergies, we need to know before beginning treatment. We can accommodate the patient’s needs and help ensure their treatment is effective. We can also make changes to the treatment when necessary. With this information, we can also keep the information in our records for reference during future appointments.
To fill out the Telemedicine Consent form, click the button below. Once completed, email the form to [email protected]
Request An Appointment
New Clients
By gathering information on the patient’s current condition and medical history, we can customize the treatment to their needs.
