| Registration Forms |
| Office Policy & HIPAA | | This form provides you with an outline of our office policy and HIPAA requirements. Please read, initial where asked, sign at the bottom, and bring with you to your appointment. |
| Demographic Information | | This form provides us with the necessary contact and billing information. |
| Medical History | | This form provides us with your medical history and the reason you are visiting our office. Please complete to the best of your ability and bring with you to your scheduled appointment. |
| Photodynamic Therapy Consent | | This form provides you with information regarding the Photodynamic Therapy and gives consent for the procedure. |
| Surgical Consent | | This form gives consent for surgical procedures performed in our office. |
| Minor Procedure Consent | | This form gives consent for minor procedures performed in our office. |
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| Cosmetic Procedure Consent Forms |
| Fraxel Laser Consent | | This form provides you with information regarding the Fraxel Laser and also gives consent for the procedure. |
| Pulsed Dye Laser Consent | | This form provides you with information regarding the Pulse Dye Laser and also gives consent for the procedure. |
| Diolite Laser Consent | | This form provides you with information regarding the Diolite Laser and also gives consent for the procedure. |
| Smoothbeam Laser Consent | | This form provides you with information regarding the Smoothbeam Laser and also gives consent for the procedure. |
| Restylane Consent | | This form provides you with information regarding Restylane and also gives consent for the procedure. |
| BOTOX Consent | | This form provides you with information regarding BOTOX and also gives consent for the procedure. |
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