PATIENT FORMS

Once you have confirmed your appointment date, please complete the appropriate intake forms, as directed by our staff. Please submit your completed forms via fax: 813-682-2679 or via email: clientservicesgr@k3nowmd.com Please be sure to deliver your forms to our facility 2 full days prior to your appointment.

General Intake Form

For patients coming in for Botox and or Filler Cosmetic Treatments

Fill Online

Male Intake Form

For male patients coming in for Hormone Replacement Therapy

Fill Online

Female Intake Form

For female patients coming in for Hormone Replacement Therapy

Fill Online

Please use your desktop or download PDF Fillers App when filling out these forms on your mobile device. These forms are not designed to be completed in your mobile browser

PROGRAM DISCLAIMER
Results may vary based on each patient’s physical health, diet and exercise, and adherence to the program. The results highly depend on the adherence of the program as well as following the instructions from the K3 NOW Team.
No prescriptions or treatments will be given unless a clinical need exists based on an examination, any necessary testing or lab work, a medical consultation and a current medical history.
All information contained within this site is for informational purposes only. It is not intended to diagnose, treat, cure, or prevent any health problem, nor is it intended to replace the advice of a qualified medical practitioner, health practitioner, or fitness professional. No action should be taken solely on the contents of this website. Always consult your physician or qualified health professional on any matters regarding your health or on any opinions expressed within this website.
The information provided within this website is believed to be accurate based on the best judgment of the authors but the reader is responsible for consulting with their own health professional on any matters raised within. Health information changes rapidly. Therefore, some information within this website may be out of date or even possibly inaccurate due to new studies and research that the authors of this website are unaware of.
We do not assume any liability for the information contained within this website, be it direct, indirect, consequential, special, exemplary, or otherwise. Further, we will provide no prescription unless a clinical need exists based on required examinations, testing, lab work, medical consultation and current medical history, either through patient’s personal physician or K3 NOW, our medical staff or medical associates. Please note: Should you agree to have lab work performed, that alone does not automatically qualify you or any other patient to clinical necessity or a prescription.

K3 NOW GRAND RAPIDS

(616) 425-5167 | FAX: (616) 499-3040
clientservicesgr@k3nowmd.com
2249 Wealthy St SE #250, East Grand Rapids, MI 49506
Copyright 2018. All Rights Reserved by K3 NOW® | Terms & Conditions

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