Client Forms

Start With Your Forms

Every MO' HYDRATION experience begins with an individualized assessment. Complete these two short forms before your appointment so we can safely personalize your treatment.

Step 1 · Before Your Visit

Medical Intake & Screening

Tell us about your health history, medications, allergies, and wellness goals so we can determine the most appropriate hydration option for you.

≈ 5 minutesComplete Intake

Step 2 · Before Treatment

IV Wellness Therapy Informed Consent

Review and acknowledge the nature, benefits, risks, and alternatives of elective IV wellness therapy, then sign electronically.

≈ 4 minutesReview & Sign

Step 3 · Provider Use

IV Treatment Record

Internal provider documentation for treatment, additives, IV access, infusion, and discharge. For provider use only — not a client-facing form.

Provider formOpen Record

Your responses are reviewed by Nurse Injector Mo before treatment. Completing these forms does not guarantee a specific treatment or outcome — all IV services are elective and based on individualized clinical assessment. Have questions? Call us at 757-800-2401.

View IV Drips