Save time in our waiting room by completing the necessary forms at home using your computer keyboard and bringing them with you to your appointment.
Clicking the links below will usually open them up in your browser. To download the forms to your desktop, right-click the links and choose “Save Link (or Target) As…”.
All new patients will need to complete the following 5 forms:
Form 1 – Medical History (Interactive pdf)
Form 2 – Registration & Insurance (Interactive pdf)
Form 3 – Patient Record of Disclosures (Interactive pdf)
Form 4 – Office Financial Policy (Interactive pdf)
Form 5 – Office Privacy Practices Acknowledgment (Interactive pdf)
You may also download all 5 forms in a zip file.
For specific procedures, please choose the appropriate form(s) below:
Cosmetic Procedures Form
Please complete this form before all microdermabrasion, waxing, and facial appointments.
Cosmetic Procedures Patient Consultation & History
Microdermabrasion
Care instructions for after the procedure, not a form: Microdermabrasion Post-care Treatment
Laser Hair Removal Form
Botox Medication Guide
(Forms to fill out for Botox procedures are available in the office)
Juvederm Procedure Form
Please Remember:
- Do bring your driver’s license or photo ID.
- Do bring relevant insurance cards and information.
- Do bring a list of any and all medications you are taking currently or have taken in the past, including oral, topical, over-the-counter, or herbal supplements.
- Do not wear jewelry or makeup to your appointment. This will facilitate an efficient and thorough examination and/or procedure.
