Consent form PDF
Download the patient consent form as a PDF file.
Download the patient consent form PDF, fill it in, and return it by email, fax, or bring it with you to your first visit.
Please download and fill in the patient consent form before your visit. You can email or fax the completed form to the clinic, or bring it with you to your first appointment.
Download the patient consent form as a PDF file.
Email completed forms to healthykidsninova@yahoo.com.
Fax completed forms to (587) 887-1968, or bring the completed form to your first visit.