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Men’s Patient Consent Forms

If a Grand Canyon Clinics Staff member directed you to this Patient Form page, then you will need to complete this form prior to your consult or doctor’s visit. You can fill in the online form below, or download our PDF form to fax, or bring to our office.

You can download the PDF version of the Male consent form to fax or bring to the office

*By signing the attached consent form, you agree to receive text communication from Grand Canyon Clinics*

Please read ALL material in the

Consent and Treatment Form
HIPAA Privacy Form
and Medical History Form


before ACKNOWLEDGE AND ACCEPTING and signing for all three forms at the bottom of the page.