Intake Information Form

Filling out our New Client Information Form helps us provide you with the best electrology services. Your details allow us to:

  • Customize Your Treatment: Understand your specific needs and preferences.

  • Ensure Efficiency: Streamline your appointments and avoid delays.

  • Enhance Safety: Maintain accurate records for safe and compliant treatments.

Thank you for helping us deliver a personalized and effective service!

Click here to download a fillable PDF of the intake form.

If you choose to download and fill out the form, please bring this completed form with you to your first appointment.