Patient Forms & Preparation

For new patients, we need to get to know you a little bit before your initial consultation.

One of our Patient Coordinators will send over a few forms for you to review carefully, sign, and return to us. All paperwork is sent through HIPAA compliant applications.

We ask that all paperwork to be submitted before you enter the practice to ensure a streamlined and optimized appointment.


New Patient Forms

New Patient Form (Aesthetic Consent Form) Dermal Infusion/Microchannel Consent Form Legend Pro (HE) Consent Form Microneedling Consent Form Microneedling after-care Belotero Consent Form Xeomin Consent Form Hair Restoration Therapy Form Skin Type Form

Submit your completed forms by clicking "submit forms"

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Office Policies

Safety policy

All patients will receive a temperature check at Reception, sanitize their hands and phone, and will be immediately escorted to their designated treatment room. All patients must wear a mask upon arrival and in any common area.

Cancellation Policy

We value our patient’s time, and strive to run on time. We intentionally do not overbook our schedule to ensure the best experience for your visit. Should you be unable to keep your appointment, please contact our office at least 24 hours in advance to cancel; failure to do so will result in a $100 fee. Additional fees may apply if cancelling a cosmetic procedure without 24 hour advanced notice.

These fees are not reimbursable. If you are late for your appointment, we cannot guarantee that appointment and you may be asked to reschedule.

Our consultation fee is $195, this fee will be attributed to any procedure or treatment booked.

Refunds & Product Returns

Please note that no refunds will be issued once services are rendered. Refunds cannot be applied to retail products. No skincare products will be accepted for return or exchange.

Payments

All payments are due in full at the time of service. All package payments are due in full at the time of the first treatment session. We accept cash as well as all major credit cards including Visa, Mastercard, and Discover. We do not offer internal financing options. Unfortunately, we do not expect insurance and cannot grant ANY exceptions to this policy.