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Patient Forms

Our staff looks forward to meeting you and discussing your healthcare, cosmetic and/or surgery goals. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms located below so that you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. 

If you are unable to download our patient forms, then it is recommended that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms. 

If you are not able to come in early, once you have completed your patient forms you will be put in line for the next available appointment that day.  Thank you for your understanding.

Form Downloads

To view and print these forms, you must have Adobe Acrobat Reader. If you do not currently have Adobe Reader, please visit this link to download – Official Adobe Website.

New Patient Forms

Notice of Privacy Practices

Authorization to Disclose Health Information

Patient Finanical Responsiblity