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Patient Intake Forms

We ask our patients to complete these forms before their first appointment. Please click on a link below, print the PDF forms and fill them out before coming for your first visit.

Get the free Adobe ReaderThe links to PDFs below require the Adobe Reader. If you do not have a copy of the Adobe Reader, you can get one for free by clicking here. This will take you to Adobe's website (in a new browser window) and enable you to quickly and easily download the free Acrobat program to your computer.

 

Primary Patient Intake Form

Click here for our primary Patient Intake Form.

 

Patient Consent Forms

Botox Consent
Chemical Peel Consent
Cosmelan Consent
Illuminize Consent
IPL Consent
Juvederm Consent
Laser Based Hair Removal Consent
Laser Genesis Consent
Laser Vein Consent
Microdermabrasion Consent
Radiesse Consent
Titan Consent
Vitalize Peel Consent

 

Treatment Instructions

Botox Instructions
Botox Instructions (with consent form)
Chemical Peel Instructions
Cosmelan Instructions
Illuminize Instructions
IPL Instructions
Juvederm Instructions
Laser Based Hair Removal Instructions
Laser Genesis Instructions

Laser Vein Instructions
Microdermabrasion Instructions
Radiesse Instructions
Titan Instructions
Vitalize Peel Instructions

 

For more information on the Alamo Hills Medical Group [www.alamohillsmedicalgroup.com], click here to visit their website.

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Alamo Hills Advanced Aesthetics and Laser Center
2876 Sycamore Drive, Suite #101
Simi Valley, CA 93065
Phone: (805) 527-3711