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Your transformation starts here. Every new client needs to submit this info for review by our trained and certified staff to ensure we match you to the right treatment for you.

Discover Our Expertise

We kindly ask all new patients to fill out the medical questionnaire and patient consent form prior to their visit. These forms will help us better understand your medical history and ensure that you are an eligible candidate for your requested services. Please fill out the following form in its entirety.

Thank you for your cooperation! We look forward to helping you reach your goals soon.

    Patient Information and Consent

    Please fill out this form completely.

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