Patient Forms

Please arrive at least 15 minutes prior to your scheduled appointment time to complete all necessary paperwork.

The following forms are available to you for your convenience (items marked * are needed for initial consultation):

Clear + Brilliant™ Consent
Laser Hair Removal Consent
Media Disclosure Authorization
YAG and IPL Consent
ResurFX Consent
ThermiSmooth Treatment Consent
Tripollar Consent
Voluderm Consent

Prior to your appointment, you may download the New Patient / Info Consent form and email the completed document to themedspa.rpsc@gmail.com.

In order to provide our patients with the best medical care and most appropriate treatment plan, we require all patients to complete a new health-history form on an annual basis.

These files are provided in PDF format. Downloadable copies are being migrated — call (919) 333-4418 and we’ll email them to you in the meantime.

Visit The MedSpa

Come see us in Raleigh — or tell us about your skin goals and Madison, our patient coordinator, will schedule your complimentary consultation.

Request Your Consultation

First name

Last name

Phone number

Area of interest

Preferred day / time

Tell us about your skin goals