Registration

Patient Forms

Attachments:
Download this file (aftercare_ablative_laser.pdf)ERUBIUM AND ABALTIVE LASERS SKIN RESURFACING AFTER CARE FORM[Post Treatment Instructions]15 kB
Download this file (aftercare_hair_removal.pdf)HAIR REMOVAL AFTER CARE FORM[Post Treatment Instructions]15 kB
Download this file (aftercare_laser_services.pdf)SKIN REJUVENATION, ROSACEA & VEINS, and non-ABLATIVE WRINKLE WORKAFTER CARE FORM[Post Treatment Instructions]15 kB
Download this file (aftercare_photofacial.pdf)PhotoFacial Post-Treatment Instructions[Post Treatment Instructions]7 kB
Download this file (aftercare_tattoo_removal.pdf)Tattoo Removal Aftercare Instructions[Post Treatment Instructions]14 kB
Download this file (arbitration_agreement.pdf)ARBITRATION AGREEMENT[Agreement to Arbitrate]19 kB
Download this file (consent_botox.pdf)BOTOX (Botulinum A Toxin) INFORMED CONSENT[Consent]23 kB
Download this file (consent_cellulite.pdf)Informed Consent for Cellulite Treatments[Consent]15 kB
Download this file (consent_dysport.pdf)INFORMED CONSENT FOR DYSPORT® (BOTULINUM TOXIN A INJECTIONS)[Consent]29 kB
Download this file (consent_facial.pdf)CONSENT FOR ESTHETIC SERVICES[Consent]44 kB
Download this file (consent_juvederm.pdf)Juvederm Injectable Informed Consent Form[Consent]20 kB
Download this file (consent_laser-IPL_hair.pdf)Informed Consent for Hair Removal[Consent]58 kB
Download this file (consent_microdermabrasion.pdf)Microdermabrasion Client Informed Consent Form[Consent]67 kB
Download this file (consent_peels.pdf)Peels Client Informed Consent Form[Consent]9 kB
Download this file (consent_perlane_dermal_filler.pdf)Perlane Injectable Informed Consent Form[Consent]11 kB
Download this file (consent_photo_skin_rejuvi.pdf)CONSENT FORM PHOTOFACIAL/SKIN REJUVENATION / NON-ABLATIVE WRINKLE REDUC[Consent]18 kB
Download this file (consent_radiesse.pdf)Radiesse Injectable Informed Consent Form[Consent]18 kB
Download this file (consent_restylane_hylaform.pdf)RESTYLANE, HYDRELLE & HYLAFORM INFORMED CONSENT[Consent]13 kB
Download this file (consent_sculptra.pdf)Sculptra Injectable Informed Consent Form[Consent]18 kB
Download this file (consent_tattoo_removal.pdf)Informed Consent for Laser Tattoo Removal[Consent]19 kB
Download this file (consent_tightening.pdf)Informed Consent for Laser Skin Tightening Treatments[Consent]9 kB
Download this file (consent_veins_rosacea.pdf)Informed Consent For Removal/Reduction of Brown Spots & Spider Veins[Consent]12 kB
Download this file (consent_visit_follow_up.pdf)LASER REPEAT TREATMENT FORM[Consent]13 kB
Download this file (medical_history_laser.pdf)CLIENT INFORMATION & MEDICAL HISTORY FOR LASER TREATMENTS[MEDICAL HISTORY FOR LASER TREATMENTS]27 kB
Download this file (medical_history_medispa.pdf)CLIENT INFORMATION & MEDICAL HISTORY[CLIENT REGISTRATION FORM]25 kB
Download this file (medical_history_peels.pdf)CLIENT INFORMATION & MEDICAL HISTORY FOR PEELS[MEDICAL HISTORY FOR PEELS]28 kB
Download this file (medical_history_teeth_whitening.pdf)CLIENT INFORMATION & MEDICAL HISTORY FOR TEETH WHITENING[MEDICAL HISTORY FOR TEETH WHITENING]25 kB
Download this file (medication_list.pdf)Client Drug Reaction Check List[MEDICATION LIST]15 kB
Download this file (tanning_track_sheet.pdf)SESSION TRACK SHEET[CLIENT TREATMENT TRACKING SHEET]9 kB
Download this file (United Medical Credit Brochure (1).pdf)United Medical Credit Brochure [CREDIT BROCHURE]886 kB

Save time by completing these following forms before your first visit: Also, please complete (and bring in) Medical History Form (2 pages) annually, and always notify staff upon check-in of any new contact information.

Please click on the patient forms below, print/complete the form, and either:
1. Email it to us at: This email address is being protected from spambots. You need JavaScript enabled to view it.
2. Fax it to us at 702-967-1786 before your next appointment
3. OR, bring it with you to your appointment

Canceling an Appointment

 

Canceling an Appointment

Please via phone at (702) 967-1788 or email at This email address is being protected from spambots. You need JavaScript enabled to view it. AT LEAST 24 hours prior to your scheduled appointment date to avoid *cancellation fees.

*Cancellation is required 24 hours prior to appointment; failure to cancel within the required time will result in a fee of $50.00 being charged to the credit card on file. A No Show is considered failure to cancel or failure to show for a scheduled appointment, a fee of $75.00 will be applied to the credit card on file.

No Shows and Late Cancellations (24 hours+)

Initially, clients who schedule an appointment and simply DO NOT show up or cancel within the allotted timeframe of 24 hours will be required to leave a deposit of half (50%) of the their scheduled session total in order to reschedule their next appointment.

Deposits

The deposit is fully refunded to the client if the appointment is canceled within the 24 hours-notice timeframe. Reoccurring no shows or if the appointment is canceled AFTER 24 hours, clients will be charged the full deposit amount of half (50%) of the entire session cost.

Client’s who prepaid for Package Deals

Clients who have prepaid for package deals who are no shows or have Late cancellations for their scheduled appointments will automatically be deducted the cancellation fee from the package balance.

New Clients

If a new client fails to cancel or reschedule their appointment date within the 24 hour timeframe they will forfeit ALL limited-time pricing offers, monthly special promotions, discounts or coupons.

We reserve the right to refuse appointments to any client who has demonstrated disregard of our cancellation policy.

New-Patient & Appointment Information

Thank you for choosing The Medical Spa Laser,anti-aging & weight loss center in Henderson, NV.

Dear Client,

We strive to render excellent and personalized care to our clients. In order to be consistent with this philosophy, The Medical Spa Laser,anti-aging & weight loss center in Henderson, NV uses an appointment system that sets aside ample time dependent on the client’s current needs. If you do not show for your appointment, or notify us of your inability to keep your appointment by phone at least 48 hours in advance, the time that has been allotted for your visit cannot be used to treat another client and is time lost to our office. With that in mind and in order to keep costs as low as possible, TheMedicalSpa has devised the following cancellation policy:

If an appointment needs to be cancelled or rescheduled, we require a 48 hour notice, barring unforeseen circumstances or emergencies.

If a 48 hour notice is not provided, you will be charged a $50 fee. 

If you are a new patient, please arrive 15 minutes early to complete the New Patient Assessment Forms and paperwork.

Alternatively…

You can print and complete the forms prior to your arrival!

To make your visit more pleasant, we would like to share some information about our practice and policies.

Thank you for taking time to review them.

Hours of Operations

Monday 10am to 4:30pm Tuesday through Friday – 10am to 5:30pm

For after hour questions/concerns that cannot wait until the following work day (or be answered here at our website), please call our office at (702) 967-1788 and follow prompts to leave message. We will return your call ASAP.
For other immediate emergencies, please go to your nearest emergency room.

Appointments and Cancellation Policy

We will make every effort to accommodate your schedule
and preferred date and time for an appointment.
Often, we can accommodate urgent same day or next day appointments.
Yet, please schedule non-urgent appointments as far in advance as possible.
We kindly ask that you please respect your provider’s time and others
who may be waiting for an appointment by arriving on time
or at least 15 minutes early if you are a new patient and also,

by cancelling your appointments with at least 24 hour notice
if you are unable to make your appointment.

It is our policy to charge for appointments not cancelled with 24 hour notice.

As a courtesy, we do phone or email appointment reminders prior to your visit.

Courtesy and Visitor Safety

In order to promote cleanliness and sterility and per OSHA regulations.

NO FOOD or BEVERAGES other than water is allowed anywhere in our office. Due to the sensitive nature of office equipment and as a courtesy to others.

we politely ask that you turn off your CELL PHONES when you are brought back to your exam room.

Also, for the safety of your children, please make arrangements for their care. We cannot easily accommodate small children during your treatments.

 

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