patient forms

forms required for all patients:

• Client Information and Consent

• HIPPA: Information and Consent

• Notice of Privacy Practices

treatment specific forms:

• BOTOX® Cosmetic Botulinum Toxin Type A: Patient Consent

• SkinPen® Microneedling: Patient Consent

• B-12 & Lipotropic™ Injections: Consent for Administration

if you have any questions or concerns, please don’t hesitate to reach out and/or to discuss them in person at your next appointment.