For your (and our) convenience several Patient Forms are enclosed, so you can print and fill them out before your appointment. It’ll save time at the office and already be done. Thank you!

Section A: Medical Visits

  • New Patient Forms for Dermatology and Medicine Download

For patients interested in Bio-Identical Hormone Treatment

  • Bio-Identical Hormone Treatment Consent FormDownload
  • Hormonal Imbalance Quiz for WomenDownload
  • Hormonal Imbalance Quiz for MenDownload

For Patients interested in detailed Skin Exam & Evaluation

If you’d like us to obtain your medical records from another physician before your first appointment with us, please print out sign and fax back this form to:
432-688-1900 as soon as possible.

Section B: Aesthetic/Weigh Loss/Laser/Facial Treatments

  • New Patient Forms for Aesthetic ProceduresDownload

If you know what procedure that you are interested in, please select the appropriate Consent Form in addition to the above New Patient Form.

  • Botox Consent Form and InstructionsDownload
  • Chemical Peel & Jet Peel Consent FormDownload
  • Dermal Fillers Consent FormDownload
  • hCG Diet Consent FormDownload
  • Mesotherapy Consent Form and InstructionsDownload
  • Microdermabrasion Consent FormDownload
  • Laser Hair Removal Consent FormDownload
  • Laser Vein Treatment Consent FormDownload
  • Laser Pigment Removal Consent FormDownload
  • Laser Tattoo Removal Consent FormDownload
  • Liquid Facelift Consent Form (COMING SOON!)Download
  • Permanent Cosmetics Consent Form (COMING SOON!)Download
  • PhotoDynamic Therapy (PDT) with Levulan Consent FormDownload
  • PhotoFacial (IPL) Consent FormDownload
  • RF Facelift (Skin Tightening) Consent Form (COMING SOON!)Download
  • Sclerotherapy Consent FormDownload
  • SmoothBeam Laser (Scar & Wrinkles) Consent FormDownload
  • WelaSmooth Consent Form and InstructionsDownload

Section C: Skin Care Consultations

We greatly appreciate you helping out and filling out these forms early. Thank you and see you soon!

Ask Dr. Anna


Verify Code*