I, the undersigned, authorize psychiatric evaluation, care, and treatment as prescribed by the provider at Serenity Psychcare for myself. This consent covers outpatient services, office visits, and continuous outpatient care. I also consent to services being provided by a mid-level provider (Nurse Practitioner or Physician Assistant) under the supervision of the psychiatrist. I recognize that no assurances have been given to me by the clinic providers regarding the outcomes or improvement of my condition.

I am aware of my right to engage in discussions about the assessment, potential risks, and benefits associated with any recommended treatment.