Medical Forms

Forms for use in cosmetic practice centers, centers for cosmetic surgery, plastic surgeons, healthcare, medical offices.

$49.50 $28.35

Botox® Treatment Consent to Treat a Minor Form. The parent or guardian of a minor, authorizes physician to perform cosmetic treatment and is disclosed information concerning Botox, how it injected, side effects, what to expect, patient also acknowledges the limitations of Botox treatments and possible side effects and dangers. Patient consent date and signature signature lines at bottom of form. Physician should examine form to see if it may benefit his/her practice to help keep patients legally informed and physician from legal problems.


$49.50 $20.25

General guidelines to using a Walker. A patient's and caregiver guide to using a walking. Protect yourself, be sure you have outlined safety precautions to the patient and leave a safety guidelines sheet with the walker.


$31.50 $20.25

This release form is used to obtain client authorization to take photographs for use as an aid in patient's treatment. Protect yourself if you will be taking patient photographs, be sure to obtain your client's permission in writing. Form uses industry standard, legal wording section and may be fully edited or modified using Microsoft Word or other word processors.

With its contemporary design and host of features, it is sure to enhance any cosmetic practice or existing medical or doctor's office wanting to do away with their old patient intake forms and replace them with new, updated, contemporary forms without going through the expense of new form typesetting and offset printing fees. Print as many as you need and edit them as your office needs change in time.


$49.50 $20.25

A patient's guide to using an Oxygen Concentrator. Includes sections and guidelines on: goals, equipment preparation, equipment use, safety guidelines to use when oxygen is not in use, and troubleshooting. It also has a section near bottom of form with the medical equipment's business name and a telephone number for the patient have difficulty, needs assistance or does not understand something.

Tip: Protect your medical supply rental business, be sure you have outlined safety precautions to the patient and leave a safety guidelines sheet with any type of medical rental equipment left in location with a patient or caregiver.


$31.50 $28.35

This form is used used to obtain new patient medical history. Form is divided into 4 sections. Patient information, past medical history, medications, and the last section is reserved for women only. May be used as is, or easily personalized to your individual needs, using compatible word processor.

No need to design your form from scratch, with its contemporary design and host of features, it is sure to enhance any cosmetic practice or existing medical or doctor's office wanting to do away with their old patient intake forms and replace them with new, updated, contemporary forms without going through the expense of starting from a new form or form typesetting and offset printing fees. Print as many as you need and edit them as often as needed.


$49.50 $20.25

A patient's guide and checklist for patients using CPAP and BiPAP medical, therapy equipment. 


$108.00 $52.65

A superbill is a form used by medical practitioners and clinicians so they can quickly complete and submit the procedure(s) and diagnosis(s) for a patient visit for reimbursement. It is generally customized for a provider office and contains patient information, the most common CPT (procedure) and ICD (diagnostic) codes used by that office, and a section for items such as follow-up appointments, copays, and the provider’s signature.

Superbills aggregate the data from a patient visit needed to successfully submit an insurance claim. This includes provider information, patient information and visit information. Superbills are different from receipts/invoices because they provide additional information regarding the visit (diagnosis and procedure codes) that are needed to get a claim approved.


$22.50 $20.25

Provide your clients and customer with a welcoming letter showing that you respect their rights to dignity and pride with the Patient's Rights notice / handout.

This document will explain your patient rights and responsibilities. It is part of your patient's registration and is an important part their health care. Our commitment to your patients should include and inform them of their rights and responsibilities. This notice complies with applicable Federal civil rights laws and affirm that the clinic will deliver high-quality health care to every patient


$18.00 $16.20

Our referral card provides information that is easy to read and understand for you and your referring doctor. Layout is tailored to your practice and the specific services you offer. 

Easily edit using Microsoft Word and print from your office in regular bond paper or thicker stock, print as many as you need. 2 will fit on 8.5" x 11" letter size paper.


$40.50 $28.35

This is a Restylane® Fee Schedule (or for any other type of dermal filler or any type of procedures where you wish to have a price list), includes procedures, prices, payment schedule and signature line for client. May also be used as a fee schedule form for types of surgical procedures, easily edit and change form fields to best meet your needs. May be used as is, or easily personalized using compatible word processor.

With its contemporary design and host of features, it is sure to enhance any cosmetic practice or existing medical or doctor's office wanting to do away with their old patient intake forms and replace them with new, updated, contemporary forms without going through the expense of new form typesetting and offset printing fees. Print as many as you need and edit them as your office needs change in time.


$58.50 $36.45

A more complete, 3 page, Restylane®, facial injections consent form. Patient authorizes physician to perform Restylane injections into muscles covering patient's forehead, face, chewing muscles, scalp, neck, or upper back, it also informs of risks and alternative treatments.

It is divided into several sections, Instructions; Introduction, what Restylane is, what it has been approved for, and general information about the effects; Alternate Treatments; Risks of Restylane; Normal Occurrences During Tissue Filler Injections, Including Restylane; Complications and Health Insurance.

With its contemporary design and host of features, it is sure to enhance any cosmetic practice or existing medical or doctor's office wanting to do away with their old patient intake forms and replace them with new, updated, contemporary forms without going through the expense of new form typesetting and offset printing fees. Print as many as you need and edit them as your office needs change in time.


$112.20 $78.54

myMed Kit for Botox® provides you with 28 (Some forms may contain 2 and 3 pages), state-specific necessary forms to start your Botox practice or to replace your old, outdated existing practice forms. Forms have been developed under the direction of cosmetic practice physicians, medical staff, medical attorneys and form developers to provide you with aesthetically designed, legal forms that are pleasing and relaxing to your clients when requesting their signature on legal forms, preventing client confusion and disappointment.

Doctors wanting to immediately add Botox to their list of services will find myMed Kit for Botox® an indispensable forms kit offering minimal expense and saving you valuable time and money. Existing cosmetic practice can do away with old, outdated legal-looking and scarry forms and update their office forms and customer practice perception without the added expense of form design and reprint.

Tip: Many physicians overlook the value of having professional office forms that accurately reflects their brand image, many times you see them copy the same forms over and over again until they are hardly visible to read and do reflect a careless image on your work methods, yet this small piece of paper can be an important part of your collateral package. It's often the first item new patients receive from your staff, so it's your first opportunity to make a strong, positive impression on them.