Forms

DermatechMD proudly serves Raleigh, Durham, Chapel Hill, NC and surrounding areas


If this is your first time visiting us, please complete the Client Consent form.  For Fraxel Laser services, please complete the Fraxel Consent and the Patient Medical History.  You may either fax the forms to us or bring it with you to expedite your stay.

 

 

Permanent Cosmetic Client Consent Form

 

 

 

 

Fraxel Laser Patient Consent Form

 

 

 

Fraxel Laser Patient Medical History Form

 

 

 

 

 

 

 

 

FORM_Laser Hair Removal Medical History.pdf

Laser Hair Removal Medical History Form

 

 

 

FORM_Laser Hair Removal Patient Consent.pdf

Laser Hair Removal Patient Consent Form

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