Forms/Agreements/Waivers (Provided by Patient Advocators LLC)

  • A Permission for Verbal Communications Form will need to be administered in order for healthcare professionals to be in compliance with HIPAA laws when communicating medical information about you or your loved with us—a non family member.
  • A Consulting Agreement will need to be completed prior to commencing with services that authorizes our services and fees.
  • A Waiver concerning driving and any other possible negative consequences of this service must be signed before services can commence where applicable.
  • A list of the patient’s medications which can be created by calling the patient’s pharmacies and requesting that their prescription history be mailed to his or her home.
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