We are excited to meet you but before your appointment please complete the brief questionnaire followed by a short informational video that will provide a basic overview of the services we provide. Please watch the video as it will strengthen your understanding of the procedures before you arrive and will likely help answer some questions you have about procedures in the office.

1. Have you read the informed consent provided in the email?

1. Have you read the informed consent provided in the email?

1. Are you under the age of 18?

1. Are you under the age of 18?

2. Are you currently pregnant or breastfeeding?

2. Are you currently pregnant or breastfeeding?

3. Do you have a history of severe allergies resulting in anaphylaxis?

3. Do you have a history of severe allergies resulting in anaphylaxis?

4. Do you have a history of keloid scarring, bleeding or clotting disorder?

4. Do you have a history of keloid scarring, bleeding or clotting disorder?

5. Do you have a history of untreated autoimmune disorders?

5. Do you have a history of untreated autoimmune disorders?

6. Have you been diagnosed with: Scleroderma, Rheumatoid Arthritis, or Lupus?

6. Have you been diagnosed with: Scleroderma, Rheumatoid Arthritis, or Lupus?

7. Have you had any facial surgery, or any other ablative facial procedures in the last 4 months?

7. Have you had any facial surgery, or any other ablative facial procedures in the last 4 months?