Patient Info

Forms

In order to make your appointment more efficient, please take a moment to download, review and complete the forms below and bring them with you to your appointment.

 

First Appointment

If this is your FIRST visit with Allure, please download, review and complete the following forms:

For patients having a BOTOX® treatment:

For patients having a dermal filler treatment:

For patients having a Kybella treatment:

For patients having a chemical peel:

For patients having a CoolSculpting treatment:

ALL FIRST TIME PATIENTS, please download, review and complete the following forms:

 

Subsequent Appointments

If you have had an appointment with Allure before, you only need to download, review and complete the following form(s), depending on which treatments that you are getting:

If you wish to permit Allure Rejuvenation Center to use your photographs:

 

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