myMed Kit for Restylane® Practice provides you with 27 (Some forms may contain 2 and 3 pages), state-specific, necessary forms to start your Restylane practice or can be used to replace your old, outdated and faded existing practice forms.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 Restylane to their list of services will find myMed Kit for Restylane® an indispensable forms tool kit offering a wide array of forms at minimal expense, saving you valuable time and money. Existing cosmetic practice can do away with old, faded and outdated legal-looking and scarry forms and update their office forms and client and patient perception of your office setting without the added expense of form design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.
Forms Included in myMed Kit for Restylane® Practice:
To view individual forms:
a) See product thumbnails above, located below product image or,
b) Click form SKU link below to view full form description
|00584||–||New Client Information|
|00585||–||Allergies and Medication Sheet|
Photography and Interview Release
|00587||–||Photography Release Form|
|00590||–||New Patient Intake Form|
|00591||–||Office Visit Welcome Letter|
|00598||–||Patient Sign-In Register Form|
|00599||–||Anatomical Line Drawings for Dermatology|
|00600||–||Personal History Questionnaire|
|00602||–||Photo Consent for Cosmetic Surgery|
|00603||–||Surgery Cancellation Policy|
|00605||–||HIPAA Notice of Privacy Practices, Patient Rights and Complaints|
|00606||–||Patient Acknowledgement of Receipt of Notice of Privacy Practices|
|00607||–||Procedure Translation Statement by Health Professional|
|00613||–||Patient Authorization for Use or Disclosure of Health Information|
|00614||–||Notice of Privacy Practices|
|00615||–||Cosmetic Surgery Financial Agreement|
|00616||–||Patient Referral Form|
|00617||–||Release of Patient Medical Information|
|00621||–||Patient's Rights and Responsibilities|
|00622||–||Restylane Fee Schedule|
|00623||–||Consent to Receive Restylane Injection(s)|
|00624||–||Restylane Post Treatment Instructions|
|00628||–||Restylane Pre Treatment Instructions|
|00629||–||Informed Consent for Restylane Injection(s)|
|00630||–||Restylane Frequently Asked Questions (FAQ's)|
Fully Editable: The form may be fully personalized to meet your individual or business needs and done as often as needed. Add/edit/personalize your business name, address and contact information, business logo, add your own images to enhance the look of your form or to display your association and certification logos, edit form fields or add your own field questions and obtain the information that you need from your patients, change text size and form ruling color to match your corporate colors or to emphasize important questions, change legalese, wordings, phrases, fully editable Word forms without restrictions of any kind.
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.
Printing: Form may be printed to any desktop, laser or inkjet printer, in color or black and white. Print only what you need to avoid waste. For large print volume, deliver to your local office supply store or local print shop.
Page Size: 8.5" x 11" (Standard US page size)
Program Compatibility: Form is compatible with Microsoft Word 97 and later versions for Windows version and Word for MAC 4.21 and later versions and compatible word processors such as WordPerfect, OpenOffice and LibreOffice.
What Do I Receive?
- Form comes bundled with
- Microsoft Word Document file (Form)
- Microsoft Word Template file
- All form assets such as: sample photo images, association logos and free ware fonts -if needed
- 20 light colored backgrounds for use with forms
- Acrobat Reader PDF file
- User Manuals
Minimum system requirements:
- Microsoft Word 2003 or higher
Software Delivery: This product is downloadable. You will receive the link to download your form by e-mail link as soon as purchase is approved by online processor. Purchases made using 2CheckOut payment processor will take about thirty minutes to be processed; PayPal orders are delivered immediately. If you do not receive expected e-mail, please be sure to check/search your junk or bulk email folders for the email from SnappyFORMS.
Note: Sample company information displayed on forms such as business name, logo and other images may be replaced with your own image(s) and are only representative of what your form may look like after editing/customizing.
Trademarks: All product names, logos, and brands are property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, logos, and brands does not imply endorsement. Apple, Mac, Macbook and iMac are trademarks of Apple, Inc., registered in the U.S. and/or other countries. Microsoft, Word are either registered trademarks of Microsoft Corporation in the U.S. and/or other countries.
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