To ensure the best care and service during your treatment, we require your consent to proceed with the medical services we offer. This document is essential to protect your privacy and ensure that you are fully informed about the scope of the services you will receive.

By completing this form, you authorize Lean Dose Mobile and its medical team to provide you with the necessary care, sharing relevant information with the healthcare professionals involved in your treatment. Additionally, we ask that you upload a copy of your identification (ID) to verify your identity and confirm you are in the state of Texas at the time of consultation. Lean Dose will comply with all security and confidentiality standards according to the privacy laws. Please don't forget to provide your digital signature to complete the process.

Thank you for trusting us with your medical care.