I hereby voluntarily give my consent for the patient named above to receive medical evaluation, diagnosis, treatment, and any necessary procedures from the healthcare providers of Inhome Medical Services. I acknowledge that the nature, purpose, potential risks, and expected benefits of these services have been explained to me, and I have had the opportunity to ask questions. I understand that I have the right to refuse or withdraw consent at any time without affecting the quality of care provided. I further consent to participate in Chronic Care Management (CCM), Behavioral Health Integration (BHI), and Collaborative Care Model (CoCM) services as appropriate for the management of my chronic medical and behavioral health conditions. I understand that these programs involve coordinated care between my healthcare providers and may include regular follow-ups, care planning, medication management, and communication with behavioral health specialists. I also consent to the sharing of my health information with involved healthcare providers and third parties as necessary for coordination of care, billing, and compliance with applicable healthcare laws. I understand that this consent will remain valid until I revoke it in writing.