Your health and informed choice are our top priorities.
Before we move forward with your treatment or procedure, we want to ensure you have all the information you need to feel confident and comfortable. This form helps us document that you have discussed the details of your care with your provider, including the potential benefits, risks, and any alternatives available to you.
Please take a moment to review the information and provide your digital signature below. If you have any remaining questions or need further clarification, feel free to note them in the space provided so we can address them together. 🩺