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:

download >> pediatric intake

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 >>