Informed Consents Archives - Advanced Wellness Medical

Informed Consents

June 1, 2021

CONSENT FOR PREGNENOLONE REPLACEMENT THERAPY

It is important to understand that medicine is an inexact science. Although we desire, plan and carry out our treatment as carefully as we can, the results can often vary in their degree of success. It is only natural for a patient undergoing Pregnenolone Replacement Therapy to want to be reassured that everything will turn […]
June 1, 2021

CONSENT FOR HUMAN GROWTH HORMONE (HGH) REPLACEMENT

I, the undersigned, authorize and give my Informed Consent to Advanced Wellness West Valley Medical Group, Inc. and Allen Lawrence, M.D. for the administration of Human Growth Hormone (HGH) Replacement Therapy. Indications and Expected Benefits of Human Growth Hormone Replacement Therapy: I understand that prescription HGH has been approved by the Food and Drug Administration […]
June 1, 2021

ACKNOWLEDGMENT OF RECORDING OF MEDICAL CONSULTATION SESSIONS

Dear Patient or Patients: In order to provide the best medical care to you as an individual or as a couple it is our procedure to record all therapeutic and evaluative sessions. The purpose of the recordings is for in-staff evaluation of the problem, maintaining medical records and for educational purposes regarding dealing with the […]
June 1, 2021

PHYSICIAN-PATIENT ARBITRATION AGREEMENT

Agreement to Arbitrate: It is understood that any dispute as to medical malpractice, that is as to whether any medical services rendered under this contract were unnecessary or unauthorized or were improperly, negligently, or incompetently rendered, will be determined by submission to arbitration as provided by California law, and not by a lawsuit or resort […]
June 1, 2021

CONSENT FOR IMMUNE SUPPORT INTRAVENOUS MEDICATIONS PROGRAMS

I hereby give consent for the administration of Intravenous (IV) medication by either IV Drip or IV Push. The Advanced Wellness West Valley Medical Group Immune Support Intravenous Drip and Push Programs offer the administration of single or combination solutions of vitamin, minerals and other intravenous nutrients given by intravenous (directly into the blood system […]
June 1, 2021

CONSENT FOR IV DRIPS, PUSH AND/OR IM VITAMIN-MINERAL COCKTAILS

I hereby give consent for the administration of either our Advanced Wellness West Valley Medical Group IV Drips, Push and/or IM Vitamin-Mineral Cocktails. Our Advanced Wellness West Valley Medical Group IV Drips, Push and/or IM Vitamin-Mineral Cocktails offer the administration of a combination of vitamins, minerals and other nutrients given by intravenous (directly into the […]
June 1, 2021

Consequences of Testosterone Deficiency?

In article #1, I suggested that the average individual suffering from Testosterone Deficiency may not even be aware that he has low T. He may simply have an assortment of signs and symptoms that make his life “different” from what it was when he was “at his best!” But when we use the word “suffering” […]
June 1, 2021

CONSENT- MYERS COCKTAIL INTRAVENOUS DRIP AND PUSH PROGRAMS

I hereby give consent for the administration of either the Myers Cocktail Intravenous Drip and Push Programs using Myers Cocktail Intravenous Solution. The Myers Cocktail Intravenous Drip and Push Programs offer the administration of a combination of vitamins, minerals and other nutrients given by intravenous (directly into the blood system through a vein) route either […]
June 1, 2021

CONSENT FOR MELATONIN REPLACEMENT THERAPY

It is important to understand that medicine is an inexact science. Although we desire, plan and carry out our treatment as carefully as we can, the results can often vary in their degree of success. It is only natural for a patient undergoing Melatonin Replacement Therapy to want to be reassured that everything will turn […]