Consent Form: First-Time Clients

Electronic Consent Form Agreement

Client First and Last Name

(Optional) Client Advocate Filling This Form

Contact E-mail

Client or Client Advocate: Your Electronic Signature: Type your initials, signing and agreeing to this contract

I have read this form and agree to the terms stated in this Agreement.

By checking this box, I have read the consent agreement on this page and accept related terms.

Contact Phone Number

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Consent Form: Electronic Versions
Client or Client Advocate May Fill Consent Form Agreement