Patient Forms
Your Personalized Patient Experience
We are honored to be part of your care and aesthetic journey.
Please select your appointment type below to access forms, instructions, and resources tailored to your visit.
MEDICAL EXPERIENCE
Insurance-based ophthalmic and reconstructive care.
Our medical practice uses secure digital intake through the EMA patient portal. Once your appointment is scheduled, you will receive a secure link to complete your forms online.
Medical Intake Forms
HIPAA PRIVACY NOTICE
consent to communicate
Please bring to your appointment:
Photo ID
List of current medications
Referral / authorization (if required)
Please text a photo of the front and back of your insurance card to 855-688-1413.
COSMETIC EXPERIENCE
Personalized aesthetic consultations and surgical experiences.
Our team is here to ensure every detail of your experience is seamless, private, and tailored to you.
