Online Forms

New Patient Health History Forms – Required

We look forward to seeing you soon! In an effort to save you time, we welcome you to print and complete the following two registration forms prior to your visit, and bring them with to your appointment. It may seem like a good deal of questions but we want to treat the whole person, not just their eyes. It's somewhat surprising how overall health and eyes are related to each other. 

Account Information Form

Medical History Form

Lumines Optima IPL

IPL Brochure

Stellar M22 IPL Skin Type Assessment

Stellar M22 IPL Pre and Post Care Protocol

Stellar M22 IPL Medical History and Consent Form

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