Patient Forms

If you are a new patient, please download all the forms below. If you have any questions, please send us a message using the form below. Once you have filled out the forms, simply email them to blueridgelymelink@gmail.com

PLEASE NOTE: Blue Ridge Lyme Link, LLC is cash pay only, and does not have any agreements in place with any third party insurers, or Medicare/Medicaid.

Personal Medical History
Financial Contract
Privacy Policy Waiver
Diagnosis & Treatment Waiver
Intravenous Treatment Consent
Symptom Questionnaire
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