INFORMED CONSENT/ PATIENT AGREEMENTInformed Consent/Patient Agreement • January 23rd, 2001
Read each item below and initial in the space provided if you understand each item and agree to follow your health care provider’s (provider) instructions. A parent or guardian of a patient under age 18 must also read and understand each item before signing the agreement.
Look Great MDInformed Consent/Patient Agreement • January 26th, 2023
Read each item below and initial in the space provided if you understand each item and agree to follow your health care provider’s (provider) instructions. A parent or guardian of a patient under age 18 must also read and understand each item before signing the agreement.
