The following forms are provided as a service to our patients which allows us to expedite the registration process when you arrive at our office.

In order for us to more efficiently serve you, please print the appropriate form, sign, date, and bring it with you to your appointment.

Thank you!

New Patient Forms (Click the appropriate form to open)

Patient History Form

New Patient Form

Covid-19 Informed Consent

Medical Records Release Form

Botox Dermal Consent Form

Juvederm Consent Form

Laser Treatment Consent Forms

Vascular Treatment

Wart Treatment

Trusculpt Treatment

Titan Treatment

Skin Pigmentation Treatment

Onychomycosis Treatment

Laser Genesis Treatment

Hair Reduction Treatment

Kybella Consent Form

Request an Appointment or Get a Quote

Please us the form below to request an appointment or a quote for services. We'll contact you with the information you need along with available dates and times.

**Please Note: Although we always try to accommodate walk ins, we do require you to be seen by our Provider in order to start any medical weight loss program. Please give us a call to check availability.

Thank you!