Vitamin D3 (50,000 IU/mL) Intramuscular Injection Informed Consent

Treatment

Vitamin D3 is administered by intramuscular (IM) injection to help treat or prevent vitamin D deficiency. The usual dosing schedule is once weekly as determined by your healthcare provider based on your clinical condition and laboratory results.

Potential Benefits

May improve vitamin D levels, support bone health, immune function, muscle function, and overall wellness in patients with deficiency.

Possible Side Effects

Pain, redness, swelling, bruising, bleeding, tenderness, dizziness, headache, nausea, allergic reaction, or infection at the injection site. Serious reactions are rare but require immediate medical attention.

Contraindications

Inform your provider if you have kidney disease, high calcium levels, hyperparathyroidism, sarcoidosis, allergies to ingredients, are pregnant or breastfeeding, or take medications or supplements containing vitamin D or calcium.

Patient Acknowledgment

I understand the purpose of this treatment, expected benefits, possible risks, and alternatives. I have disclosed my medical history, medications, and allergies. I understand results vary and follow-up laboratory testing may be recommended. I have had the opportunity to ask questions and voluntarily consent to receive a Vitamin D3 50,000 IU/mL intramuscular injection.