PATIENT FORMS

Feel free to print and fill out these patient forms prior to your visit.

PLEASE DO NOT WRITE YOUR SIGNATURE ON THE FORMS until you do so in person at our office.



HIPPA Form History & Physical Information Self-Assessment Form
Filler Questionnaire Filler Consent Form
UltraShape Treatment Consent Form Botox Consent & Contraindications Botox Informed Consent for the Treatment of Facial Lines


1 week ago

Special thanks to these two ladies for a great makeup event today! #janeiredale

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