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Now Open: Prime Urgent Care. Call us on (813) 421-5057 for same-day medical attention.

Please select your options below, fill out medical history, and sign consent form.

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IV Hydration- Normal Saline 1L (1000ml)

Rehydrate and recover faster with 1 liter of 0.9% Normal Saline, restoring fluid balance and replenishing electrolytes after intense activity. It prevents dehydration, reduces fatigue, and supports muscle recovery by flushing out toxins. Ideal for athletes needing rapid hydration and enhanced recovery before, during, or after competition.

$85

IV Hydration- Normal Saline 500ml

$45

Myers Cocktail IV Hydration

Boost your performance and recovery with our Myers' Cocktail IV, designed to enhance energy, muscle function, and overall health. Key ingredients like Magnesium, B-Vitamins, Hydroxo B12, Calcium, and Vitamin C promote faster recovery, improve focus, and support immune health. Perfect for pre- or post-workout, it helps you stay at your peak performance.

$145

Toradol (Ketoralac) 30mg

Toradol (Ketorolac) is a powerful NSAID that quickly relieves pain and reduces inflammation, allowing athletes to perform without distractions. It alleviates muscle soreness, joint pain, and minor injuries, promoting faster recovery and better mobility without causing drowsiness. Ideal for pre-competition use, Toradol helps athletes manage pain and stay focused, reducing downtime and maintaining peak performance.

$30

Methylcobalamin (B-12) 5mg Injection or add to IV

B12 injections enhance energy, endurance, and recovery by supporting red blood cell production and improving oxygen transport, reducing fatigue during intense activity. They increase stamina, allowing for longer, harder training sessions, while also boosting focus and mental clarity. B12 injections speed muscle repair and strengthen the immune system, helping athletes stay healthy and perform at their best. Ideal for those looking to optimize energy and recovery, B12 injections are a game-changer for performance.

$15

Glutathione 200mg Injection or add to IV

Glutathione injections are a powerful antioxidant that helps athletes reduce oxidative stress, protect cells, and enhance recovery. It aids in detoxification, speeds up muscle recovery, and boosts immune function for better overall health. Additionally, it promotes healthier skin by reducing oxidative damage. Perfect for athletes looking to reduce recovery time, prevent cell damage, and maintain peak performance before or after competition.

$20

Meet Up *

Date you will be getting your IV or Injection *

First Name *

Last Name *

Date Of Birth *

Sex at Birth *

Male

Female

Patient Emergency Contact *

Email *

Street Address

City

State

Country

Postal Code

Phone *

Medical History

Are you pregnant? *

Yes

No

Have you ever been told that you have an electrolyte imbalance or other abnormal labs? *

Yes

No

Do you have any of the following conditions?
Select yes or no

Blood pressure problems (high or low) *

Yes

No

Heart Problems *

Yes

No

Stroke or “mini stroke" *

Yes

No

Kidney Problems *

Yes

No

Kidney Stones *

Yes

No

Asthma *

Yes

No

Optic nerve atrophy or Leber's Disease *

Yes

No

Sickle Cell Anemia *

Yes

No

G6PD Deficiency *

Yes

No

Sarcoidosis *

Yes

No

Parathyroid problems (high levels) *

Yes

No

Are you a diabetic? *

Yes

No

Drug Allergies *

Over the counter medications including vitamins and other supplements: *

List any other medical condition you have (not mentioned on previous page): *

Prescription medications, strength dosage, condition being treated: *

List all surgical procedures you have had: *

Consent Form

Agree and sign to the following

I have informed PrimeHRT of any known allergies to medications, other substances and have provided a list of all current medications and supplements. I have fully informed PrimeHRT of my medical history. *

Yes

No

I understand that I have the right to be informed of the procedure and the risks andbenefits. I am giving my informed consent. *

Agree

Disagree

I understand that the procedure involves inserting a needle into a vein and injectionsolution with or without vitamins. *

Agree

Disagree

I understand that there are risks of intravenous therapy that include but not limited to:* Occasionally: discomfort, bruising and pain at insertion site.* Rarely: inflammation of the vein phlebitis, metabolic disturbances, and injury.* Extremely rare: severe allergic reaction, anaphylaxis, infection, cardiac arrest ordeath. *

Agree

Disagree

I understand the benefits include but not limited to: Injectables are not affected by stomach, or intestinal absorptions. Total amounts of infusions are available to the tissues.Nutrients are forced into cells by means of a high concentration gradient. Higher dosesof nutrients can be given than possibly by mouth without intestinal irritation. *

Agree

Disagree

I am aware that other foreseeable complications could occur. I do not expect revive to anticipate and or explain all risk and possible complications, I rely on revive to exercise judgment during the course of treatment with regards to my procedure. I understand the risks and benefits of all the procedures and have had the opportunity to have all my questions answered. *

Agree

Disagree

My signature below confirms that: I understand the information provided on this form and agree to all the statements made above. Intravenous Infusion therapy has been adequately explained to me. I have received all the information and explanation I desire concerning the procedure. I authorize and give consent to the performance of Intravenous infusion therapy. I release PrimeHRT and all staff at PrimeHRT from all liabilities for any complications or damages associated with my Intravenous infusion therapy. *

Agree

Disagree

Signature *

Clear