Informed Consent for Psychiatric Treatment

I voluntarily consent to psychiatric evaluation and treatment from Luminox Healthcare Services LLC. I understand that treatment recommendations are individualized and that I may ask questions, discuss alternatives, and withdraw consent as permitted by law.

• My provider will explain the expected benefits, material risks, side effects, alternatives, and consequences of declining recommended treatment.
• Medication response differs among patients, and no specific outcome is guaranteed.
• I will share current medications, allergies, pregnancy or pregnancy plans, health conditions, and relevant substance use with my provider.
• I will take medication only as directed and contact the practice about significant concerns. I will not stop medication suddenly without clinical guidance unless emergency care is required.
• I understand that I participate in treatment decisions and may ask questions or request clarification before signing.