CLIENT FORMS

FIRST-TIME CLIENTS

If you’ve booked a service for the first time at Eleven Wellness, please fill out the appropriate form before you arrive:

New Client Form: Injectables

New Client Form: Facial & Laser Services

CONSENT FORMS

Please fill out the proper consent form before your next visit:

IV Therapy Consent

ACell Consent

Botox, Dysport, Jeaveau

AquaGold Consent

BodyFX Consent

Chemical Peel Consent

Dermaplane Consent

Diolaze Consent

Dysport Consent

HydraFacial MD Consent

Filler Consent

Forma Consent

Fractora Consent

Lippodissolve Consent

IPL Lumecca Consent

Plus Consent

Procell Screening and Consent

NovaThreads Consent

PRF Consent

Sculptra Consent

Photography

ExoFlo Consent

ProNox Consent

Rejuvalift Treatment

ReNu Hair Stem Cell Consent

Renuva

Kybella

Stem Cell Consent

IPL PRE-TREATMENT FORM AND INFORMATION

Before your visit, please follow the instructions on this information sheet. Where indicated, please provide the requested information.

IPL Pre Care

POST-TREATMENT FORMS AND INFORMATION

After your visit, please follow the instructions on the appropriate information sheet. Where indicated, please provide the requested information.

Botox Post Care

Chemical Peel Post Care

Dermal Fillers Post Care

IPL Post Care

NovaThreads Post Care


Ready To Book Your Appointment?

Visit our Dallas Med Spa center and meet with a licensed professional!

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@elevenwellness