New Client Forms:

If you are a new client, you can simply download our pdf forms below and print:

(For privacy reasons, NO DATA is stored on these forms for submittal across the internet. Simply fill out form and print a copy to bring with you.)

• Menu of Services
• New Patient Information Form
• Health History Form
• Common Blood Thinners
• Latisse Guide

Loyalty/Rewards/Financing:

Below are links to forms if you wish to establish Care Credit or Enroll in Allergan’s Brilliant Distinctions:

• CareCredit for cosmetic procedures
• Register for Allergan’s Brilliant Distinctions

Other Forms:

• AFSC Charity Donation Form