Patient Forms

Download the forms you'll need before your visit.

Download any of our patient forms below. You will need Adobe Acrobat Reader to open these forms.

Medical Records Release ↓

Allows you to give us the legal right to release sensitive Health Information to other health providers.

HIPAA Notice of Privacy Practices ↓

This form describes how medical information about you may be used and disclosed and how you can gain access to this information.

Understanding your BMI Testing Results ↓

Understanding your BMI Testing Results gives you a much better indication as to whether or not our RightBalance Hormone replacement therapy might be of help.

Votiva Informed Consent ↓

Votiva Informed Consent form (required).

Votiva Self Assessment ↓

This form helps you determine if this procedure is right for you.

Financial Policy ↓

This document outlines our billing procedures, insurance guidelines, and payment expectations so you know what to expect for services rendered.

Ignite InMode Informed Consent ↓

Ignite InMode Informed Consent form (required).

Quantum Informed Consent ↓

Quantum Informed Consent form (required).