Pre-Appointment Health Screening

Please select your preferred payment method for your upcoming appointment.

I acknowledge that I consent to treatment at Senara and agree to any treatments that I may receive with their associated risks. I confirm that the information provided in the pre-screen questionnaire is accurate at the time of completion. I agree to notify Senara staff and/or medical professionals to any change in my condition or answers to these questions prior to my appointment time. I hereby assume all risks, hazards and costs of care or expense associated with or which may arise from such treatment, hereby releasing the personnel and consultants and any sponsoring health care facility or institution and its affiliates and all of their agents and employees from any liability from said procedure except where such risks and hazards are the proximate result of gross negligence. This constitutes the full disclosure and supersedes any previous verbal or written disclosures, advertising or marketing materials prepared by us or other.