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Uptown NOLA

Metairie, NOLA

Biloxi, MS

504-899-NOLA (6652)

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To save time filling out forms for your first appointment, you can download the New Patient Forms prior.

 

 

 

Consent Forms:

Consent for Clinical Procedure.pdf
Consent for Clinical Procedure.pdf
Consent for Surgery Procedure #1.pdf
Consent for Surgery Procedure #1.pdf
Medical Release Consent.pdf
Medical Release Consent.pdf
Treatment for Minors Consent.pdf
Treatment for Minors Consent.pdf
Notice of Privacy Practice.pdf
Notice of Privacy Practice.pdf
Consent for Surgery Procedure #2.pdf
Consent for Surgery Procedure #2.pdf

New Patient Forms:

New Patient Form #1.pdf
New Patient Form #1.pdf
New Patient Form #2.pdf
New Patient Form #2.pdf
Patient History #1.pdf
Patient History #1.pdf
Patient History #2.pdf
Patient History #2.pdf

Non Discrimination Policy:

Non Discrimination Policy.pdf
Non Discrimination Policy.pdf

  • Home

  • About Us

  • Providers

  • Services

    • Acne Treatments
    • Botox & Fillers
    • BTL Emsculpt
    • BTL Emsella
    • CO2RE Skin Rejuvenation
    • Comprehensive Dermatology
    • Dermatological Surgeries
    • Eczema Treatment
    • Fillers
    • Laser Services
    • Mole Checks & Removals
    • Rashes
    • Rosacea
    • Skin Cancer Screenings
    • vConfidence featuring Intima
    • Wart Removals

  • Locations

    • Metairie New Orleans
    • Uptown New Orleans
    • Biloxi, MS

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