Forms & Insurance

For your convenience, we have multiple first patient forms that you can download online to fill out prior to your first visit.

Minor Forms

Minor Consent Form

Non-Parent Minor Consent Form

Medical Forms

Medical Intake Form

Medical History Form

Additional Forms

HIPAA Form

Financial Responsibility Form

No Show & Cancellation Form

We accept Care Credit for cosmetic procedures.

There is a minimum charge of $200 for Care Credit.

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VISIT CARE CREDIT

Please contact us regarding insurance plans that we accept.

954.998.0345

EMA Patient Portal

Existing patients may access the patient portal once you have received your invitation from our office and signed up. In your patient portal you are able to update personal and medical information, receive posted test results and send messages to our staff.

VISIT THE EMA PORTAL

Call Us For Appointments 954.998.0345