Please fill out the COVID-19 consent form below. Do not save the form and send it back to us, it will save blank. Please scan it, fax it or bring it to your next appointment. Thank you!
If you are unable to print the forms or would prefer to fill them out digitally please download the latest version of Adobe Reader, which you can download for free here.
This software will enable you to fill out the PDF, save it and email it to us at email@example.com.