Patient Resources

As a time saving measure, many patients prefer to fill out required forms prior to their initial consultation. For your convenience, the forms are available here to be printed in advance of your first appointment.

• Patient Health History
• Photo Consent
• Notice of Privacy Practices
• Consultation and No Show Financial Policy
• Acknowledgement of Receipt of Notice of Privacy Practices
• Financial Policy
• Mentor Saline Brochure
• Mentor Patient Checklist
• MENTOR^® MemoryGel^™ and MENTOR^® MemoryGel^™ Xtra Brochure
• Sientra Patient Checklist
• Sientra Brochure