Patient Forms

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Patient Forms

The following sections contain some valuable information regarding your treatment at our facility. They do not replace a medical consultation and personal discussion regarding your care, but rather serve as a handy reference to information you will also receive in our office. They may answer some of your basic questions or bring up additional questions you did not think to ask. Please feel free to print any of the following for your information and let us know what additional questions you have.

New Patient Forms:

This paperwork needs to be filled out prior to consultation at our office. Please print these forms and bring to your initial appointment. Alternately, you may come to your appointment 15 minutes early and fill them out in our office. If you have any records from another physician you would like us to have access to please print and fill out the records release so we may request them on your behalf.

New Patient Paperwork

Records Release Authorization

Notice of Privacy Practices:

We are committed to protecting the privacy of your personal information. The following HIPAA notice describes how we may use your information, and your rights to access and control your personal health information. A printed copy is also available in our office.

Notice of Privacy Practices

What to expect:

The following paperwork gives some information on what you should expect, and how to prepare, for some of our common non-surgical procedures.

CoolSculpting What to Expect
read more information on this procedure here

Miradry What to Expect
read more information on this procedure here

Exelo What to Expect
Exelo Post Laser Wash
read more information on this procedure here

Laser Hair Removal What to Expect
read more information on this procedure here

Chemical Peel What to Expect
read more information on this procedure here

Microneedling What to Expect
read more information on this procedure here

Ulthera what to expect
read more information on this procedure here

Surgical information:

The following gives some information on what you should expect, and how to prepare, for having surgery with Dr. Goldman.