Feel Confident in Your Skin
The following documents are for the information or convenience of our patients. New patients may want to download forms so they can complete them prior to their initial office visit. The files for each document are in PDF format. Should you not have Acrobat Reader, it can be downloaded free here.
This form requests demographic, insurance, and medical history information from our new patients. This information is necessary for us to file insurance and allows us to treat our patients optimally.
By signing this document, a patient having a cosmetic procedure signifies that they will pay for the procedure and that they understand that no insurance claim will be filed by our office.
This document explains photoderm and its possible complications. By signing it, the patient signifies that they have sufficient understanding to give their informed consent to undergo the procedure.