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Patient Forms & Resources

man filling patient formsThank you for selecting Intimate Health Telemedicine for your healthcare needs. Below you will find links to patient forms and educational resources the providers at Intimate Health Telemedicine recommend.

Request your telehealth appointment now. We currently offer virtual visits with our healthcare provider to patients in numerous states throughout the country.

Patient Forms

Once you have made your initial appointment, please print, complete, and return the below form to us.

  • Informed Consent for Telemedicine Services

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Patient Resources

Feel free to browse the below patient education resources.

  • Kegel exercises, a step-by-step guide by Harvard Health Publishing (2/2/22)
  • Osteoporosis: Which treatment is right for you? (pdf), patient handout by Pri-Med, a medical education company, developed with information from the National Osteoporosis Foundation (5/6/21)
  • Practical tips for preventing falls (pdf), patient handout by Pri-Med, a medical education company, developed with information from the National Osteoporosis Foundation (3/27/20)
  • Exercises for strength, flexibility, posture, and balance (pdf), patient handout by Pri-Med, a medical education company, developed with information from the National Osteoporosis Foundation (3/27/20)
  • Bladder training by the International Urogynecological Association (IUGA)
  • Telehealth 10: a guide for a patient-assisted virtual physical examination, published by the American Journal of Medicine (7/18/20)

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Patient Education

Learn about many common medical conditions and treatments in our patient education library.

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Intimate Health Telemedicine offers Primary Care Telemedicine , Sexual Healthcare , Women's Healthcare , Mental Healthcare , UTI Telemedicine