I agree to the following:I agree to arrive 20 min prior to my appointment to complete the required paperwork, I understand that being late will result in the appointment being rescheduled and the No Show Fee being applied.* I agree to arrive 20 min prior to my appointment to complete the required paperwork, I understand that being late will result in the appointment being rescheduled and the No Show Fee being applied.*I will arrive ready to give a urine sample, this is not a drug test but is required as part of the DOT Exam.* I will arrive ready to give a urine sample, this is not a drug test but is required as part of the DOT Exam.*If I have any medical conditions, I will review This Information and bring any required documentation with me, failure to bring all required documentation will result in a second scheduled visit and a repeat visit fee to complete the exam and paperwork.* If I have any medical conditions, I will review This Information and bring any required documentation with me, failure to bring all required documentation will result in a second scheduled visit and a repeat visit fee to complete the exam and paperwork.*I agree to Latitude Clinic's Terms, Conditions and Consents.* I agree to Latitude Clinic's Terms, Conditions and Consents.*PhoneThis field is for validation purposes and should be left unchanged. Our ServicesForm more information and learn about our services, click the button below. View Services
