New Patient Forms

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

For Our Groupon Laser Tattoo Removal Clients, please download:

  • Groupon-Tattoo Removal New Patient Form Download.

Procedural Information/Instructions

General Dermatology & Mohs Skin Cancer Surgery:

  • Cryosurgery InstructionsDownload
  • Minor Wound Care InstructionsDownload
  • Post-operative Wound Care InstructionsDownload
  • Mohs Skin Cancer Surgery BrochureDownload

Cosmetic Procedures/Sugery Instructions:

  • Browlift Instructions formDownload
  • (Superficial) Chemical Peel Instructions & Informed Consent formDownload
  • (Medium) Chemical Peel Instructions formDownload
  • Eyelifts (Blepharoplasty) Information & Instructions forms (2 forms)Download
  • Facelift Instructions formDownload
  • Liposuction Information & Instructions forms (2 forms / 4 pages)Download
  • Platelet Rich Plasma (PRP) Information / Informed Consent formDownload
  • Sclerotherapy (Injections for spider/varicose veins) Information/Care formDownload
  • Skin Micro Needling Information / Informed Consent formDownload

Laser & Broad Band Light (BBL) Information / Informed Consents / Instructions:

  • BBL Info/Instructions and Informed Consent forms (2 forms)Download
  • BBL / Laser Hair Removal Instructions & Informed Consent forms (2 forms)Download
  • Laser Brown Spots Removal Info, Instructions & Informed Consent forms (3 forms)Download
  • Laser Tattoo Removal Info, Instructions & Informed Consent forms (3 forms)Download
  • BBL / Laser Red Spots Removal Info, Instructions & Informed Consent forms (3 forms)Download
  • (Erbium / CO2 – medium and deep) Ablative Laser Resurfacing Instructions formDownload
  • MicroLaserPeel Instructions & Consent formsDownload
  • PhotoFacial / LaserFacial / SkinTyte Information/Instructions formDownload
  • Clarity Laser Informed Consent & Patient InstructionsDownload
  • Hollywood – Spectra Laser Peel, Laser Toning & Soft Peel Consent & Instructions formsDownload
  • Photodynamic Therapy Informed Consent & Patient InstructionsDownload

Other Energy-based Devices Information / Informed Consents / Instructions:

    Exilis Non-Invasive Radiofrequency-Based Body Shaping / Sculpting:

  • Exilis Information & Informed Consent formDownload
    INTRAcel Fractional Radiofrequency Microneedling:

  • INTRAcel Consent & Treatment Instructions formDownload
    Ultherapy Ultrasound-Based Non-Surgical Face / Neck / Brow / Chest Lifts

  • Ultherapy Consent & Consult formsDownload
    miraDry Microwave-Based Treatment of Excessive or Bothersome Underarm Sweat

  • miraDry Patient FormsDownload

Practice Policies

At Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas, our board certified Dermatologist Dr. Strimling and Aesthetician team want to help you look and feel fabulous both inside and out. Our dermatologists and staff are among the most experienced in Las Vegas.
Voted or selected multiple times / years among the “Best Dermatologists” in Las Vegas and America,
Dr. Strimling has also been selected an “Award Winning Cosmetic Surgeon” multiple years.

Contact Us at (702) 243-6400 to schedule a personalized consultation.

Check out Our Current Specials & Events
at Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas.

Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas treats patients from all over the Clark County valley, including Henderson, Green Valley, Anthem, North Las Vegas, Boulder City as well as Summerlin, Las Vegas, Nevada and the rest of the southwest. We have also seen patients from all over the country and world.

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