Required Forms -Prior to Exam
Please download, complete and return completed forms with signature
Prior to meeting with a RenewFX Health and Wellness associate physician, all patients must first download complete, sign and email the below forms to firstname.lastname@example.org.
FORMS for download:
Instructions – Please download Forms, Complete and Email to email@example.com or Fax to (877) 210-4335.
Your information is protected by HIPAA and is completely confidential.