Informed Consent for TreatmentInformed Consent for Treatment • June 11th, 2020
Contract Type FiledJune 11th, 2020I, _, (Patient Name) hereby give consent to IVXpress, Inc. (IVX Health) to perform intravenous infusion, intramuscular injection, or subcutaneous injection of vitamins, mineral therapy, nutrition therapy or prescription medication as prescribed. I have been informed of and understand the treatment that I will receive and accept to proceed with such treatment. I acknowledge the Informed Consent for Treatment document at the time of check-in and have no questions.