New Patients

Download our New Patients Forms:

Print your appropriate intake and consent(s) forms, fill out and bring with you to your appointment. We will be happy to answer any questions you might have at your appointment.

Intake Forms:

Functional and Wellness Medicine Intake Forms

• Wellness & Functional Medicine New Patient Health Questionnaire
• Wellness & Functional Medicine New Patient Consent Intake
• Medical Records Release Authorization
• Follow Up Wellness Patient Questionnaire
• Notification of Lab Responsibility

Aesthetic Intake Form

• Medical Aesthetics Intake
• Self Assessment

Wellness Services Intake Forms

• Wellness Services Intake Form

IV Therapy Intake Form

• Initial IV Therapy Consent Form
• Additional IV Therapy Consent Form

HCG Package Intake Forms

• HCG Patient Intake Form
• HCG Information

Pre/Post Therapy Instructions:

• Kybella
• Coolsculpting
• O-Shot
• P-Shot
• PRP Hair Restoration
• IPL Care Instructions
• Laser Hair Removal
• Facial & Hydrafacial
• Fractora
• Botox
• Filler
• Sculptra
• Sauna
• Float Pod
• Vampire Facial & Micro-Needling