Sure Success Wellness Center
Peptide Therapy Program
Informed Consent for Peptide Therapy
Please read this consent carefully. It explains the nature of peptide therapy, its potential benefits, risks, and alternatives so you can make an informed decision. Ask Dr. Thomas any questions before signing.
This signed consent is sent to Dr. Thomas’s clinical team by email. It does not begin treatment — peptides are prescribed only after your consultation and at the provider’s clinical discretion.
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Consent Submitted
Your email client should have opened with your signed consent ready to send to Dr. Thomas’s team.
If nothing happened, please email your consent directly to [email protected] or call us at (317) 253-7795.
We recommend keeping a copy for your records using the Print button.
