intake & consent forms - vaccination consultations
Follow the steps below which outline the intake forms to print & fill out, and what to expect of your visits.
1. prior to your first visit
Please download and print the forms below.
a. consent form & clinic policies:
download >> 1 hour vaccination consultation form
OR
download >> 2 hour vaccination consultation & support
b. If booking a 2 hour consult with support, please additionally download and print a pediatric intake form:
c. Also, please download and read (not necessary to print) our privacy code which outlines the clinic’s privacy policy, and our policies around the collection, use and disclosure of your personal information: download » privacy policy
We ask that you fill out the intake packages as completely as possible, and fax, mail or drop them off the week before your first visit. The consent form must be faxed in to confirm your appointment. contact info >>
