We’re thrilled to have you as a new patient. To ensure a smooth experience during your first visit, we kindly ask you to complete the required forms provided below. You have the option to either bring them with you to your appointment or upload them using the form submission section on this page.

Important Note:
Please complete the forms relevant to your upcoming visit:

All New Patients: Complete the forms under the “All New Patients” section.
Filler and Botox Services: If you’re visiting for filler or Botox services, additional forms specific to these procedures will be provided separately.

All New Patients
Please complete these forms prior to your scheduled appointment. If forms are not completed, kindly arrive at least 15 minutes prior to your appointment time to complete them in person.

B12 and Lipotropic Injection Consent Form
Click Here

Indemnification Clause
Click Here

Patient Clinic Policies
Click Here

Patient Medical History and Intake Form
Click Here

Pre and Post-Visit Instructions
Click Here

Privacy HIPAA Policies
Click Here

Release of Healthcare Information
Click Here

Store and Forward Telemedicine Information
Click Here

Filler and Botox Services
If you are scheduled for filler or Botox services, please click on the links below to download the respective forms:

Filler Services Consent Form
Click Here

Neuromodulator Forms
Click Here

Patient Consent for Photography
Click Here

Collagen P.I.N. Microneedling
If you are scheduled for microneedling, please click on the link below to download the respective form. Please also complete the photography consent above.
Click Here

Aquafirme XS
If you are scheduled for an Aquafirme XS facial, please click on the link below to download the respective form. Please also complete the photography consent above.
Click Here

High-Dose Vitamin C Infusion
If you are scheduled for a high-dose vitamin C infusion, please click on the link below to download the respective forms. Please also complete the photography consent above. Please complete this in addition to all new patient forms.
Click Here
GPD6 Declination Form

Please use the form below to upload your completed forms.

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