CONSENT FORM

IV Treatments / Intramuscular Nutrients

We are providing you with IV injection vitamin boosts. Vitamins and Minerals are essential for the cells to function at the optimal level. Intravenous infusions are the fastest, most effective way for your body to receive hydration and micronutrients, allowing your bloodstream to serve as the route for your cells to uptake what your body needs right away.

This document is intended to serve as confirmation of informed consent for IV therapy as ordered by the practitioner at Modern Wellness Concierge.