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