CLIENT FORMS

Submit all completed forms to recover@luxeconciergenursing.co.

Please complete and submit all forms at least 2 week prior to your surgery date.
If you have any questions please contact us at 971-330-2451.

NOTICE OF PRIVACY PRACTICES

CONSENT TO TREAT

CONSENT FOR USE OF HEALTH INFORMATION

FINANCIAL POLICIES

OFFICE POLICIES

CLIENT INTAKE FORM

PAYMENT

A 50% nonrefundable deposit is required at the time of booking to reserve your appointment. The full balance must be paid 2 weeks prior to your surgery date. Deposits and payments are nonrefundable.