What is it?
The Consent Form for Peptide Therapy is a legally required document to obtain patient consent for peptide therapy.
It must be signed by the patient before peptide therapy is administered. (Note: You'll use this Form in addition to your regular Informed Consent/Consent to Treat Form.)
It covers areas like:
- the specific peptides to be administered.
- potential risks + benefits of peptide therapy.
- peptides are not yet FDA-approved.
- voluntarily consent to receive peptide therapy.
Who needs it?
All licensed medical practitioners working with patients who are allowed to provide peptide therapy including:
- Physicians (all types), nurse practitioners and physician assistants
- Integrative, Functional, and Lifestyle physicians
- Naturopathic doctors
- Nurses & Nurse Coaches working independently under their Nursing Practice Act
- All licensed medical practitioners working in patient relationships who are allowed to implement peptide therapy under their scopes of practice.
Legal Love™ Tip:
- Use this form when treating patients with peptide therapy under your scope of practice.
- Use this form if you’re using your medical title like “Dr.” or “Nurse” and working with patients in states where you’re licensed/registered.
Note: This is NOT the correct form if you’re a “coach” under any circumstance. It’s not to be used by medical practitioners who are not authorized to provide peptide therapy to patients.
Client Love
Why do you need it?
This Consent Form for Peptide Therapy helps you:
- Get written consent to infusion therapy —before services begin.
- Ensure clear communication with patients in writing.
- Share the benefits and risks with professionalism and ease.
- Be energetically aligned in your sacral chakra by creating clear boundaries + expectations.
This form reduces risk for both you and your patients—building trust through transparency.
What’s included in the DIY package?
- Informed Consent Form Template
- Easy-to-edit doc.
- Fill in the blank format you can use right away.
- Plain English - no confusing legalese.
- Created with care + Legal Love™.
How does it work?
- Receive an email from us with instructions.
- Download your DIY template.
- Fill in the blanks.
- Save your changes (don’t skip this step!)
- Share it with your patients—electronically or in person - and keep a signed copy.
What's the investment?
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