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Forms & Consents
Complete and sign your consent forms securely online before your appointment. A copy will be sent to your email once submitted.
PRP Consent Form
Platelet Rich Plasma — consent to authorize your PRP procedure with Dr. Rubin.
~3 min to completeOpen →
Ketamine Infusion Consent
Ketamine infusion therapy — informed consent covering risks, benefits, and treatment expectations.
~5 min to completeOpen →
Peptide Therapy Consent
Peptide therapy consultation — acknowledgment of experimental status and patient autonomy.
~3 min to completeOpen →
How it works
- Select the form that applies to your upcoming procedure or consultation.
- Enter your name, date of birth, and email address.
- Read the consent carefully, check the acknowledgment box, and draw your signature.
- Click Sign & Submit — your office copy goes to Dr. Rubin's team, and a confirmation copy goes to your email.
Questions? Call our office at 516-492-3100.