Optimal Weight Loss Institute

Doctor writing prescription form while sitting at glass desk in hospital

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× Patient Medical History Form Patient Medical History Form $100.00
$100.00
× Platelet Rich Plasma - Fibrin Matrix Informed Consent Platelet Rich Plasma / Fibrin Matrix Informed Consent $50.00
$50.00
× Malpractice Insurance Disclaimer & Notice of Privacy Practices Malpractice Insurance Disclaimer & Notice of Privacy Practices $50.00
$50.00
× Intravenous-IV-Infusion Intravenous (IV) Infusion Therapy Consent Form $50.00
$50.00

Cart totals

Subtotal $250.00
Tax $0.00
Total $250.00