Forms for Your Appointment

For your convenience, we have intake and HIPPA (privacy act) forms that you can download, print and fill out prior to your arrival.  You will need Acrobat Reader to read these documents.  You can get it free by clicking here .

• HIPAA Notice of Privacy Practices
• Dermatology Health History
• Patient Information Form (for all clients)
• Authorization for Medical Records
• Skin Evaluation for Spa