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Patient Forms

Please submit these forms only after we have instructed you to do so.

Telemedicine Consent

Please submit this consent only after we have instructed you to do so.

Please submit this form only after we have instructed you to do so.

Minor patients complete a similar form in the clinic.

Please submit this form only after we have instructed you to do so.

ADULT - HRT Patient Agreement

Please submit this form only after we have instructed you to do so.

Minor patients complete a similar form in the clinic.

 

Print this form and complete ONLY THE HIGHLIGHTED SECTIONS so VECTOR can OBTAIN medical records FROM another provider.  Please only complete the highlighted portions or we will have to void the document and have you complete a new one.  Once you have completed the document, you can email it to info@vectorhealthnwa.com or bring it in person to the clinic.  Once received, we may reach out to assure we have completed the rest of the form correctly.

Print this form and complete ONLY THE HIGHLIGHTED SECTIONS so VECTOR can SEND medical records TO another provider.  Please only complete the highlighted portions or we will have to void the document and have you complete a new one.  Once you have completed the document, you can email it to info@vectorhealthnwa.com or bring it in person to the clinic.  Once received, we may reach out to assure we have completed the rest of the form correctly.  **PLEASE NOTE: VECTOR cannot re-release some or all of the records we have obtained from other providers.**

Medical Records Policy (and consent)

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