Patient Forms and Instructions

Please email all completed forms to: receptiondesk@fargoderm.com

Authorization for Release of Medical Information

Authorization for Treatment of a Minor

A-list Cancellation Form

Consent to Treatment and Payment Authorization

Notice of Privacy Practices

Preparing for your Surgery

Treatment Instructions:

Atopic-Dermatitis-Atopic-Eczema-Treatment-ladder

Botox Treatment Instructions

Dermal Filler Treatment Instructions

Kybella Treatment Instructions

Laser Genesis Instructions

Laser HAIR removal Instructions

Laser Treatment Instructions

Liquid Nitrogen (Cryotherapy) Care Instructions

Sclerotherapy Treatment Instructions

Spray Tan Pre and Post Care