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New Patient Forms
in Connecticut

New Patient Forms

Click here to download the registration forms and have them completed prior to your visit.

To complete an electronic copy of the registration forms using Adobe Acrobat Reader, download them here.

Please contact us at 860-404-6133 if you have any questions.

Rewards Program

Click here to download the rewards application

Consultation Fees

  • Routine Cosmetic Consultation with doctor $150; applied towards procedures over $1000
  • Problem Cosmetic Consultation with doctor $250-$500; NOT applied towards any procedures
  • Skincare or Makeup Consultation with esthetician $75; will apply to product purchases
  • Skin Clearance with doctor for prescription products & Skincare Consultation with esthetician. $150 physician consultation ONLY no charge for consultation with esthetician

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