Informed Consent for Treatment

Informed Consent for Vitamin Injection, IV Therapy, and Peptide Therapy

I consent to receive treatments that may include Vitamin Injections, IV Therapy, and/or Peptide Therapy at Arrive Health and Wellness. I understand that my treatment provider will discuss my individual treatment plan with me and that I have the right to ask questions and seek clarification about the proposed treatments.

Purpose of Treatment

These therapies may be administered to enhance overall health and wellness, improve nutrient deficiencies, support recovery, and facilitate various health goals as discussed with my provider.

Benefits and General Information

  • Vitamin Injections: Vitamin injections, including Vitamin B12, may improve energy levels, support immune function, and address specific nutrient deficiencies.

  • IV Therapy: Intravenous (IV) therapy allows for direct delivery of vitamins, minerals, and other nutrients into the bloodstream, potentially providing immediate effects and improved absorption.

  • Peptide Therapy: Peptides are small chains of amino acids that can promote various biological activities, including tissue repair, anti-inflammatory effects, and improved hormonal balance. They are mostly naturally  occurring. Some peptides are FDA approved for the treatment of certain diseases. Other peptides used clinically are prepared by duly registered compounding pharmacies complying with all state and federal  laws. Peptides can be administered in various presentations, including but not limited to oral,  subcutaneous, intramuscular and intranasal routes. Common peptides used may include, CJC 1295/Ipamorelin, BPC 157, and TB500.

Risks and Side Effects

I acknowledge that there are risks associated with these therapies, which may include, but are not limited to:

  • Vitamin Injections: Possible redness, swelling, or pain at the injection site, allergic reactions, and other side effects as discussed.

  • IV Therapy: Possible vein irritation, infection, allergic reactions, fluid overload, and electrolyte imbalances.

  • Peptide Therapy: Nausea, vomiting, fever, injection site reactions (pain, rash, bleeding),  Allergies, including life threatening allergies, and any additional side effects not listed.

Alternative Treatments

I understand that alternatives to these therapies include:

  • No treatment

  • Oral supplementation

  • Standard medication use

  • Other therapeutic interventions as discussed with my provider

Liability Waiver

I acknowledge that these therapies may be considered elective and not medically necessary. I assume full liability for any adverse effects that may result from the non-negligent administration of these treatments. I waive any claims for damages related to the procedure except in cases of negligent administration.

Consent

By signing, I acknowledge that:

  1. I have had the opportunity to ask questions regarding the procedures and have received satisfactory answers.

  2. I understand the nature, purpose, risks, benefits, and alternatives to the proposed treatments.

  3. I voluntarily consent to receive Vitamin Injections, IV Therapy, and/or Peptide Therapy as discussed.