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FORMS

  • New Patient Information Form
  • Consents
  • Instructions
  • Rejuvenation Protocol
  • Hyperpigmentation Protocol
  • Acne Protocol
  • Pre-Peel Instructions
  • Post Peel Instructions
  • Post Neuromodulator Instructions
  • Post Dermal Filler Instructions
  • Pre-Fraxel Instructions
  • Post-Fraxel Instructions
  • Medical History Form
  • Arbitration Agreement
  • Return/Refund Policy
  • Consent for Medical Laser Treatment
  • Informed Consent for the Daily Facial Home Treatment
  • Informed Consent for Radio Frequency Skin Treatment
  • Informed Consent for Chemical Peel
  • Informed Consent for LED Treatments
  • Consent for Dermal Filler Treatments
  • Consent for Neuromodulator Treatments
  • Consent for Glutathione Injections
  • Consent for Fraxel Treatment
  • Consent for Thermage Treatments
  • Consent for Mesotherapy Treatments
  • Consent for Nose Augmentation
  • Skin-Test Waiver
  • Photography Consent

Southmain Rejuvenation Institute, A Medical Group is a Medical Board of California-approved fictitious name

IMPORTANT LEGAL NOTICE

PRIVACY
RESOURCES

HIPAA

SAN JOSE   |  SAN FRANCISCO   |   LOS ANGELES 

(888) 678-SKIN 7546

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