What is it?
The Consent Form for Wellness Infusions is a legally required document to obtain patient consent for wellness infusion therapy.
It must be signed by the patient before/at your first patient appointment.
It covers areas like:
- the specific type of wellness infusion to be administered.
- potential risks + benefits of wellness infusions.
- voluntarily consent to receive infusion 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 wellness infusions 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 infusion therapy to patients.
Client Love
Why do you need it?
This Consent Form for Wellness Infusions 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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