Forms

Supplemental personalized attention by a board certified surgeon.

By contracting with a Ryical Medical Consultant you are not entering into a doctor-patient relationship. Consultants are not providing direct patient care, second opinions, making diagnoses, or performing procedures. Requested personal information is used by the consultant to help assure that you are providing your medically pertinent information to your treating healthcare practitioner. Consultants are not information gatherers. They are only privy to information provided directly by the client or indirectly by client provided reports or verbal/written discussion by a client’s healthcare provider.

To maintain the privacy of your personal and confidential information please download, read, and fill out the forms below (to the best of your ability) and bring them with you to your initial consultation. Please do not hesitate to contact us with questions or comments regarding the forms.
‚Äč
Consulting Privacy Practices
Consulting Agreement
Demographics/History