Important:  In order to save this PDF form properly, you MUST install and use Adobe Reader whether you are using a Windows PC or a Mac.  (Safari, Mac Preview, Microsoft Edge and Google Chrome will save it as a blank form)  Please download and install Adobe Acrobat Reader from here and make sure you are opening the form with Reader:  get.adobe.com/reader

 

Please save the PDF Authorization Form (right click and save link as...) from the link below.  Open it only with Adobe Reader, fill it out completely, save it and email it to Dr. Sernik at This email address is being protected from spambots. You need JavaScript enabled to view it..

 

Authorization_Form.pdf