In order to help you prepare and expedite the registration process, here are a few forms you can print, complete, and bring with you to your appointment.
New Registration
- Patient History Form
- HIPAA Disclosure Form
- Clinic Consent Form
- Authorization for Verbal Communication of Protected Health Information
Release of Records
Consent Forms
Other Forms
- Clear and Brilliant Post Care Instructions
- Microdermabrasion & Chemical Peel Post Care Instructions
- Notice of Privacy Practices
