Registration Forms

Registration Forms

Save time at your clinic visits by downloading, printing, reviewing, and signing these forms in advance of your appointment.

HIPPA Notice of Privacy PracticesRead and review

Financial Policy – Read and review

Signature page – Print and sign. This form acknowledges review and receipt of our HIPPA Notice of Privacy Practices and our Financial Policy. We require a signed copy of the signature page to be kept on file.

Minor Treatment Consent FormOPTIONAL – only if patient is under 18 years of age. If the patient is a minor we require this form to be signed and kept on file.

Cosmetic Questionnaire – if you  have questions regarding cosmetic procedures, or you are being seen for a cosmetic consult, please complete this form and bring it to your appointment.

If you have any questions regarding how to complete these forms, please arrive early for your appointment to receive assistance from a member of the Clarus Team.