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NEW 16311 Ventura Bl. Suite 845 
Encino, CA 91436 
 

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For your convenience, many forms are available here. These forms can be downloaded and printed. To save time, please complete the paperwork and bring it to your appointment. Patients are required to sign appropriate consent forms prior to each treatment. Consent forms describe the risks, benefits, and alternatives to the treatment. A signature acknowledges an understanding of the risks, acknowledges that the patient would like to undergo the treatment given the risks, and gives us permission to perform the treatment. Since these acknowledgements as well as a person's medical history may change, signing a consent form is required prior to each treatment. We would never do a treatment without a patient's permission and we never do treatments without a consent form signed on the day of the treatment. Our patients' safety is our number one priority. Thank you for your understanding and cooperation.

Medical History

Medical History
A medical history form is required for all new patients. Please download the form and fill it out prior to your first appointment. Returning patients do not need to complete this form again.

Laser

Photorejuvenation Informed Consent Form, Treatment Questionnaire, and Aftercare Instructions
A photorejuvenation informed consent form and laser treatment questionnaire must be signed by every patient receiving a laser photorejuvenation treatment.

Botox

Botox Informed Consent Form
A Botox informed consent form must be signed by every patient receiving Botox.

Botox FAQ
Frequently Asked Questions about Botox.

Dermal Fillers: Juvéderm, Voluma, Vollure, Volbella

Dermal Filler Informed Consent Form
A dermal filler informed consent form must be signed by every patient receiving a dermal filler such as Juvéderm, Voluma, Vollure, or Volbella.

Kybella

Kybella Informed Consent Form
A Kybella  informed consent form must be signed by every patient receiving Kybella.

Kybella FAQ
Frequently Asked Questions about Kybella.

Chemical Peels

Chemical Peel Informed Consent Form
A chemical peel informed consent form must be signed by every patient having a chemical peel.

Latisse

Latisse FAQ
Frequently Asked Questions about Latisse.

Latisse Informed Consent Form
A Latisse informed consent form must be signed by every patient receiving Latisse.

Contact Us

A E Skin

818-835-1833
16311 Ventura Bl. Suite 845 Encino, CA 91436