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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.]
- Practice Policies & Privacy Notification Download
- Patient Registration Form Download
- Medical History FormDownload
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
- Sclerotherapy (Injections for spider/varicose veins) Information/Care 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
- Spectra Laser Peel, Laser Toning & Soft Peel Consent & Instructions formsDownload
Exilis Non-Invasive Radiofrequency-Based Body Shaping / Sculpting:
- Exilis Information & Informed Consent formDownload