fbpx

New Patient Registration

















    Health history, please check any of the following that apply to you








    WHAT SERVICES ARE YOU INTERESTED IN LEARNING ABOUT?





    Which three statements best reflect how you would like to look and feel after the treatment?


    Note: 48 hour notice is required for any cancellations. A $50 charge will be applied to any missed medical appointments and $100 per 10min charged for any missed cosmetic appointments.