Lyme Disease Forms

Below you will find our Lyme Disease patient forms. Please click links to download and fill out the forms you need. All patients currently being treated by Dr. Klausner for Lyme need to fill out the Lyme preappointment patient update form and return to Dr. Klausner at least 3 days before each in person or telephone appointment.

Horowitz/MSIDS_Lyme Questionnaire
Lyme preappointment patient update
Informed Consent for Lyme Form
C. difficile Form

Email Authorization for Medical Records

Email Consent Form

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