Patient Forms

Please take a minute to fill out the patient information forms before your procedure:

• New Patient Intake Form

Procedures:

• Myofascial Pain Health History Questionnaire
• Trigger Point Consent Form

Extractions:

• Extraction Informed Consent
• Extraction Post Op Instructions

Root Canals:

• Root Canal Informed Consent
• Root Canal Post Op Instructions

Botox:

• Botox Medical History
• Botox Informed Consent
• Botox Pre-Op
• Botox Post-Op

Dermal Fillers:

• Dermal Filler Medical History
• Dermal Filler Informed Consent

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