Cosmetic Practice Forms

Cosmetic practice and surgery forms, patient intake forms, post op instruction guides, pre-op guides, botox, restylane, personal history, routing slip, superbill, super bill, patient history, patient sign in, botox consent form, new patient, new client, photography release, video release, interview release forms, and more.

$43.20 $22.68

The form's purpose is to obtain patients signature acknowledging that patient received the HIPAA Privacy Practices Notice.

Did You Know? Under the HIPAA Privacy Rule, the local health department is required to disseminate its Notice of Privacy Practices to all patients upon the first delivery of service after April 14, 2003, and to make a good faith effort to obtain the patient's acknowledgment that he or she has received the Notice.


$40.50 $28.35

General Restylane® post-treatment guidelines will help to help your patients to adequately prepare after the treatment. Avoid emergencies and legal issues, be sure that your patients leaves your office with post-treatment instructions to follow by providing them with this form and keep an office copy. Easily edit the form to your particular instructions using Microsoft Word or other 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.


$40.50 $36.45

A 2 page, Botox®, 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. Form may be modified or edited to meet your own practice needs and or other types of fillers and treatments.


$40.50 $24.00

This form is used used to obtain new client or patient, allergy and medication information. It has room for patient's personal information, allergies, medicines, vitamins and other supplements and for any insulin taken and dosage, keep in mind that form fields can be edited using Microsoft Word or other 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.


$49.50 $30.78

This notice describes to your clients and patients how medical information about them may be used and disclosed and how the patient can get access to this information. 

The Health Information Portability and Accountability Act of 1996 (HIPAA) is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by a physician, whether electronically, on paper, or orally, are kept properly confidential. This Act gives the patient, significant new rights to understand and control how their health information is used. HIPAA provides penalties for covered entities that misuse personal health information. This information provided to client or patient is required by HIPAA.


$40.50 $28.35

This is a Botox 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 any other type of surgical procedures, easily edit and change form fields to best meet your needs.

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 $30.78

This form is used provided to client by physician so he can obtain a comprehensive breast history prior to considering breast surgery.

Includes both, sections for written responses and multiple choice using check boxes. Fully edit the questions to your particular practice needs.


$31.50 $28.35

This form is find out what procedure(s) your client is interested in, it contains a multitude of cosmetic practice therapies and procedures. Easy to respond check boxes so client can just check mark the procedures of interest. If is followed by a few more questions concerning the personal opinions the client may have about the procedure and if they had previous cosmetic surgery. Get informed on what your customers wish for.

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.


$31.50 $28.35

An Authorization for Disclosure of Health Information is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.

The form's purpose is to obtain patients signature to be able to use or disclose health information. 

English and Spanish bundled together.


$31.50 $20.25

This release form is used to obtain client authorization to take before and after photographs for documentation purposes. It also grants the physician, if agreed by the client, permission to use such photographs in other types of publications.

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.


$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

General cosmetic surgery preoperative and post-operative guidelines will help to help your clients and patients to adequately prepare ahead of time. Avoid emergencies and legal issues, be sure that your patients follow your exact pre-op and post-op instructions. Easily edit the form to your particular questions using Microsoft Word or other 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.