Forms / Policies

Conveniently located to serve the areas of Fenton, Sterling, Livonia, MI and San Diego, CA

To better serve you, we’ve included online versions of the forms our patients are required to fill out before they see a doctor. In our experience, carefully reading these forms before your appointment will help you avoid any confusion, especially in regards to health insurance and referrals.

Please click on New Patient Forms (see below), print them, complete and sign and bring them all to your scheduled appointment.

Click here to find the office closest to you

Download Forms

Welcome Sheet (PDF)

New Patient Forms (PDF)

Out Of Town Patient (PDF)

Notice of Privacy Policies (HIPPA) (PDF)

Mini Lift FAQ (PDF)

Laser Hair Removal Questionnaire (PDF)

Tattoo Removal Information (PDF)

miraDry Questionnaire (PDF)

Note: Adobe Acrobat Reader is required to view these files. If you do not already have Acrobat Reader click the button below.