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Required Documents

Essential forms to ensure a safe, seamless, and personalized post-surgery recovery experience.
Prepare for Your Care

Documents Needed Before Starting Your Recovery Plan

To provide you with the highest level of post-operative care, Avara requires a few simple forms before your recovery begins. Completing these ensures safety, privacy, and a smooth, personalized experience.

Patient Intake Form

Helps our nursing team understand your health background and recovery goals.

  • Personal and contact information
  • Medical history and medications
  • Allergies and health conditions

Consent for Treatment

Authorizes Avara’s licensed nurses to provide medical and wellness care under agreed terms.

  • Informed consent for services
  • Acknowledgment of care scope
  • Signature of patient or guardian

HIPAA Privacy Agreement

Ensures your medical data is handled securely and confidentially.

  • Data protection policy
  • Patient rights under HIPAA
  • Authorization for information sharing

Emergency Contact Form

Provides essential information in case of medical urgency.

  • Emergency contact details
  • Primary physician name
  • Known allergies or conditions

Physician Clearance (if required)

Confirms your surgeon’s approval for post-operative or in-home recovery care.
  • Procedure summary and notes
  • Post-surgery recovery instructions
  • Medical clearance for private nursing support

Need Help Completing Your Forms?

Our concierge coordinators can assist you with every step — from form completion to secure submission — ensuring your recovery experience begins smoothly and stress-free.
Contact a Coordinator
Your Information, Protected

Committed to Safety and Confidentiality

Avara Wellness upholds strict HIPAA standards to safeguard your medical information. All submitted documents are reviewed only by authorized, licensed professionals within our private network.

HIPAA-Compliant Process

All patient data is encrypted and stored according to federal privacy standards, ensuring complete confidentiality.

Verified Medical Staff Only

Your information is reviewed exclusively by credentialed, insured professionals within the Avara Wellness network.

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