Client Info & Forms

nformation about our forms, payment policy, and appointment policies.

Forms

Hormone Therapy and Weight Loss Initial Consultation

This form must be completed and submitted prior to scheduling your first Hormone Therapy or Weight Loss appointment:

MedSpa Initial Consultation

This form must be completed and submitted prior to scheduling your first MedSpa appointment:

Initial MedSpa Consultation Form

Payment Information

We accept cash, check, and all major credit cards except for American Express. We also accept CareCredit® for financing. Click the icon below to learn more about CareCredit financing:

We also accept Health Savings Account (HSA) and Flexible Spending Account (FSA) for our Hormone Replacement and Weight Loss programs.

The treatments listed below require a 50% down payment prior to scheduling the first treatment:

• CoolSculpting
• diVa

Cancellation & Rescheduling Policy

It is company policy for all clients to give a 24-hour appointment cancellation notice. When a deposit is required for a treatment, a 3-day cancellation notice is required in order to avoid forfeit of the deposit.

Late Policy

Our scheduling is designed to allow for the correct amount of time needed to complete your appointment. A late arrival to your appointment will deprive you of appointment time. Your appointment must end at the scheduled time so the next client’s appointment will not be delayed. If you do not make your appointment on time, we will do our best to complete as much of your appointment as possible when you arrive.

No Show Policy

Missed appointments and/or failure to cancel without a 24-hour notice will be subject to a $50 patient charge. If a deposit has been made, the deposit will be forfeited.