Patient Forms


Fill out your medical forms with ease, knowing that your information is safe and secure. Assured Medical makes it easy to get the care you need, when you need it.

Assured Medical's

Mission Statement

When you need top-quality IV therapy, telemedicine, or at-home visits, Assured Medical is the perfect choice. Our team of skilled professionals is dedicated to providing you with the best possible care and treatment. With Assured Medical, you can rest assured that you're in good hands. Trust us - we're experts in medical care!

HIPAA Notice of Privacy Practices

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IV Therapy Consent

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IV Therapy Intake Form

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IV Therapy Medical History

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IV Therapy Progress Notes

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