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.

• Medical Records Release
• Patient Medical Form
• Financial Responsibility Policy
• Notice of Privacy Practices
• Spa Skin Evaluation
• Against Medical Advice/Informed Refusal Form
• Consent to Treat a Minor Without Parent or Guardian