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New Patient Information Package Please read through and complete all the pages of our intake form. You will need to arrive 10 minutes before your scheduled 45minute appointment. Instructions:PLEASE
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Step 1: Start by gathering all the necessary documents and information related to your treatment.
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Who needs take back your treatment?

01
Anyone who has received a particular treatment and wishes to reclaim ownership or control over it.
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Individuals who have had a change in circumstances or no longer require the treatment.
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Patients who believe they are entitled to revoke consent or make decisions regarding their treatment.
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Those seeking to exercise their rights over their medical records and treatment options.
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Take Back Your Treatment is an initiative designed to empower patients to actively participate in their healthcare decisions and manage their treatment options effectively.
Patients and healthcare providers involved in the treatment process are typically required to file Take Back Your Treatment documents to ensure clear communication and understanding of the treatment plan.
To fill out Take Back Your Treatment, individuals need to provide personal health information, a summary of the treatment options discussed, and any preferences or concerns regarding their treatment.
The purpose of Take Back Your Treatment is to promote patient engagement in their own healthcare, enhance transparency in treatment decisions, and ensure that patients' rights and preferences are respected.
The information that must be reported includes patient identifiers, treatment options considered, decisions made by the patient, and any relevant medical history that may impact treatment choices.
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