If you are a new patient, we invite you to print out each of the forms below (using Acrobat Reader 3.0 or higher-click here for a free download of this program if not already on your system).   Please bring your completed forms with you on the day of your appointment.

• *Patient History
• *Patient Information
• *Patient Information-Page Two
• *Privacy Practices
• *Patient Consent to Use and Disclose Health Information for Treatment, Payment or Healthcare Operations
• *Patient Authorization for Use or Disclosure of Protected Health Information
• *Financial Policy
• *Patient's Bill of Rights

• Patient Lab Designation (medical patients only-not for laser patients to complete)

• Patient Form (for laser procedures)
• Skin Typing Form (for laser procedures)

* = these forms should be viewed and completed by all patients (medical and laser) 

Instructions:

• Laser Hair Removal Instructions
• Laser Treatment of Shaving Bumps Instructions
• Laser Vein Treatment Instructions
• Laser Treatment of Vascular and Pigmented Irregularities Instructions
• Laser Skin Rejuvenation and Toning Instructions

Note:  It is a violation of copyright laws to reproduce in whole or in part any of the forms shown above without the written consent of Advanced Healthcare for Women and Dr. E. Daniel Biggerstaff, III., M.D.