Agreement Download

To prepare for your appointment, please sign and return the Statement of Informed Consent. It's a short form, taking about a minute to complete. 

You can fill it out in two ways. First, you can download the PDF, fill it out on your computer or phone, and upload it in the form below. Second, you can print it off on paper, sign it, and taking a picture with your phone. 

Once you have it signed, send it in as an attachment to a message in the contact form, below.