Consent Forms
Please review and sign the required consent forms to continue using MyHealth Ally.
Important: MyHealthAlly is a health navigation and concierge platform. Medical services are provided by independent, licensed practices.
HIPAA Authorization and Consent
Required
Not Signed
Telehealth Services Consent
Required
Not Signed
Financial Responsibility and Payment Authorization
Required
Not Signed
Consent for Treatment
Required
Not Signed