Patient Resources

Pre-appointment forms

Once your appointment is scheduled, take some time beforehand to download and fill out your patient forms

We ask that when filling out forms, you fill them out to the best of your ability with complete, honest answers. It is important we understand your medical history before your skin or laser treatment. For appointments that involve treatment, you can reference the pre- treatment form to ensure you are prepared when you arrive. You will also find post treatment care forms below. Please read over the information so any questions can be addressed. 

All information is strictly confidential.

Medical History

brief medical history, skin type and skin treatment history, medication, photograph consent

Consent Forms

treatment consent, understanding potential side effects and risks

Fairlawn Aesthetic MD, Cryo-T shock cellulite treatment

Pre-Treatment Forms

pre-treatment skin care regiment, and things to notify the Doctor of if they apply to your skin

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