Agreement to Terms of Care
By signing the Consent & Authorization Summary Signature Page, you affirm that you have carefully reviewed and fully understand all policies, disclosures, and treatment consents outlined below. You acknowledge that you have had the opportunity to ask questions, that your questions have been answered to your satisfaction, and that you voluntarily accept the terms and conditions set forth by Down to Earth Wellness Center. Your signature serves as your informed agreement to proceed with care and services as described, and your full acceptance of responsibility for following all guidelines and recommendations provided to you.
Down to Earth Wellness Center
1664 W. Smith Valley Rd. Greenwood, IN 46142
(317) 978-0280
DOWN TO EARTH WELLNESS CENTER © 2025