Z-fold minor consent form
Riverview Health
Tear-away medical form with a leaflet to take home. This z-fold medical form serves as a medical form to keep in patient's medical record and a marketing take-away leaflet about the online patient portal.
Top image: Front panel
Bottom image: Inside panels with additonal information about the online portal along with the consent form to sign and keep in patient's medical record. This form is perforated.
Front of form; folded.