Our Forms

 

Please fill all registration forms and the consent the consent form for the procedure you are planning to have. Upon arriving at our Med Spa office, simply check in with our receptionist and provide her with your paperwork.

Registration Forms:
Patient Registration
Photo Release Form
HIPPA Form
Health History-Consult

■ Financial and Cancellation Policy

Consent Forms:
Vein treatment Consent
Hair Laser removal Consent
Skin Titan Consent
Laser Genesis Consent
Pigmented Lesions Consent
Dermal Filler Consent
Botox-Dysport-Xeomin Consent Form

Kybella Consent Form
Zerona Consent Form
Velashape Consent Form
Toe Nail Fungus Consent
Acne Treatment Consent
Fractional Laser Treatment Consent
Tattoo Laser Removal Consent

Microdermabrasion-Peels

Sclerotherapy
Microneedling

RF Microneedling

Hydrafacial

Thread Lift

Platelet Rich Plasma

High Intensity Focused Ultrasound

I-Lipo Consent Form

Coolifting CO2 Gun Consent Form

Pre and post treatment Instructions:
Pre-Post Hair Reduction
Pre-Post Vein Laser Treatment
Pre-Post Laser Genesis
Pre-Post IPL Pigment
Pre-Post Titan
■ Pre-Post Velashape
Pre-Post Fractional Laser
■ Pre-Post Toe Nail Fungus Laser Removal

Pre-Post Tattoo laser Removal

Pre-Post Microdermabrasion

 Pre-Post Sclerotherapy

■ Post Fillers instructions

■ Post Botox instructions

 Pre-Post Micro Needling

Pre-Post Thread Lift

Pre-Post I-Lipo

 

Pellet Hormonal Therapy

 Pellet Consent-Male

 Pellet Consent-Female

Advanced Skin & Vein Care Centers | Lexington, KY

​​​Contact Us

3229 Summit Square Pl, Ste 240, Lexington. KY

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208 Bevins Lane, Suite B, Georgetown, KY 40324

American Board of Venous & Lymphatic Medicine | Kentucky Med Spa | KY

Tel: 859-554-0519 | Fax: 888-502-7513

Toll Free: 1-888-312-0109

 © 2019 by Advanced Skin & Vein Care Centers. All rights reserved.

Care Credit | Kentucky Med Spa | Lexington, KY
Aesthetic Medicine Board | Advanced Skin & Vein Care Centers | Kentucky