Forms & Policies

Please Download and fill out the following forms that pertain to you PRIOR to your appointment. We look forward to seeing you!

All clients complete: client service agreement, HIPAA privacy notice , testimonial release and patient intake form for any Nutrient Therapy.  Then if you need additional IM shots- complete the appropriate consent forms. Hope this helps to make your nutrient therapy transition smoother. If by any chance you do not have a printer at home to prefill- feel free to just come by during your appointment. We have extra forms in the office.   

The services provided on this web page have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. The material on this website is provided for informational purposes only and is not medical advice. Always consult your provider before beginning any therapy program. Any designations or references to therapies are for marketing purposes only.

                                                                                                        © 2020 by Emerald Luxe Medical Spa