CMC Specialty Pharmacy Patient Acknowledgement Form
All CMC Specialty Pharmacy patients must consent to be treated by our facility. We recognize that great care means great service that makes things easier for you. That’s why we’ve built this digital consent option made just for you.
If you haven’t gotten the change yet, check out our Welcome Packet, where you can find everything you need to know about our services and practices.
By submitting the form below, you acknowledge that you have received a copy of the Welcome Packet,
Privacy Practices, and agree to receive services offered.
If the patient is unable to consent, please complete the form below.