Recent lab results are required for a prescription. If you do not have recent lab results, is the patient able to visit a lab for a blood draw after the initial appointment? You can search for a lab here: Yes No *Parent/Guardian must sign if Patient is under 18 years of age. Patient Name Typed Signature of Parent/Patient Date of Birth Date I, agree to and understand the Terms and Conditions which includes Consent for Remote Treatment/Telemedicine Services.
