Medical History Form

To make the most of your first appointment, please download, fill out, and bring the medical history form to your appointment. This will give you ample time to think through the questions and save you time in the office. Thanks in advance for bringing this completed form with you at your first appointment.

Breast

BREAST AUGMENTATION

Pre & Post Op Instructions for your Breast Augmentation
Consent for Breast Augmentation with Saline Implants
Consent for Breast Augmentation with Silicone Implants
Medications to avoid

BREAST LIFT

Pre & Post Op Instructions for your Breast Lift
Consent for Mastopexy (Breast Lift Surgery)
Medications to avoid

BREAST REDUCTION

Pre & Post Op Instructions for your Breast Reduction Surgery
Consent for Breast Reduction Surgery 
Medications to avoid

Body

TUMMY TUCK

Pre & Post Op Instructions for your Abdominoplasty Surgery
Consent for Abdominoplasty (Tummy Tuck Surgery)
Medications to avoid

LIPOSUCTION

Pre & Post Op Instructions for Liposuction
Consent for Liposcution
Medications to avoid

ARM LIFT

Pre & Post Op Instructions for Arm Lift
Consent for Arm Lift
Medications to avoid

Face

FACE LIFT

Pre & Post Op Instructions for your Face Lift
Consent for Rhytidectomy (Facelift Surgery)
Medications to avoid

EYELIDS

Pre & Post Op Instructions for your Eyelid Surgery
Consent for Blepharoplasty (Eyelid Surgery)
Medications to avoid

CO² LASER & FRACTIONAL SKIN RESURFACING 

Pre & Post Op Instructions for CO²  Laser & Fractional Skin Resurfacing
Consent for CO² Laser & Fractional Skin Resurfacing
Medications to avoid

BOTOX® & FILLERS

Pre & Post Op Instructions for your Botox & Fillers
Consent for Botox® & Fillers

Laser

LASER HAIR REMOVAL

Pre & Post Op Instructions for your Laser Hair Removal Procedure
Consent for Laser Hair Removal

Pre & Post Op Instructions for your Fotofacial RF™ Treatment
Consent for Fotofacial Treatment

SKIN TIGHTENING (ReFirme™)

Pre & Post Op Instructions for your ReFirme™ Skin Tightening Treatment
Consent for Skin Tightening Treatment

SUBLATIVE REJUVENATION (Laser Matrix RF™)

Pre & Post Op Instructions for your Sublative Rejuvenation Treatment
Consent for Sublative Rejuvenation Treatment

Skin

LASER & SKIN CARE HISTORY

In order to provide you with the most appropriate laser hair removal or skin care treatment, we would appreciate your time in completing the following questionnaire before your first visit.

PERMANENT MAKEUP

Pre & Post Op Instructions for Permanent Makeup

Common Interest Disclosure Statement

Before any patient proceeds with surgery, they will need to review and sign the Patient Bill of Rights, Advanced Health Care Directive, and Consent to Resuscitative Measures while at our facility. Please download, sign and bring these forms to your pre-op appointment.