- (602) 854-1238
- 5060 N 19th Ave, #406-12, Phoenix, AZ, 85015
- info@lightenupclinic.com
- (602) 854-4410
Patient Consent Forms
Please make sure you have filled out the Initial Paperwork forms below, at least 30 minutes prior to your visit time.
We will send you any additional forms the are needed via email, once we receive your consent form.
The link below will prompt to you to (1.) create a Login with our application Hushmail, where you will (2.) input your email address and (3.) be sent a secure link for entering your private health information. (4.) Please fill out the form sent, via the Hushmail link, from your email.
If you are having trouble finding the link, please check you spam inbox for an email from info@lightenupclinic.com. Or contact us at the informtion below. Thank you.
| Form Name | Description | |
| Initial Paperwork | Patient Consent Form, Medical History, Contact Information. | REQUEST Form |