Item name: myMed Kit for Restylane Practice
Page size: 8.5" x 11"
Documents: 30 State-specific
Description: The Restylene forms Kit provides you with 30, state-specific necessary forms to start your Restylane practice or to replace your old, outdated existing Restylane practice forms. Forms have been developed under the direction of cosmetic practice physicians, medical staff, medical attorneys and form developers to provide you with aesthetically designed, legal forms that are pleasing and relaxing to your clients when requesting their signature on legal foms preventing client confusion and disappointment.
Doctors wanting to immediately add Restylane to their list of services will find myMedkit for Restylane an indispensible forms kit offering minimal expense and saving you valuable time and money.
Existing cosmetic practice can do away with old, outdated legal-looking and scarry forms and update their office forms and customer practice perception without the added expense of form design and reprint.
| Forms included in myMedKit for Restylene Practice: (Click the SKU # to bring up the form product description page) |
| MF00584 |
New Client Information |
| MF00585 |
Allergies and Medication Sheet |
| MF00586 |
Photography and Interview Release |
| MF00587 |
Photography Release Form |
| MF00588 |
Cancellation Policy |
| MF00622 |
Restylane Fee Schedule |
| MF00590 |
New Patient Intake Form |
| MF00591 |
Office Visit Welcome Letter |
| MF00624 |
Restylane Post Treatment Instructions |
| MF00623 |
Consent to Receive Restylane Injection |
| MF00629 |
Informed Consent for Restylane Injection |
| MF00625 |
Restylane Product and Safety Information |
| MF00598 |
Patient Sign-In |
| MF00599 |
Anatomical Line Drawings for Dermatology |
| MF00600 |
Personal History Questionnaire |
| MF00601 |
Procedure Questionnaire |
| MF00602 |
Photo Consent for Cosmetic Surgery |
| MF00603 |
Surgery Cancellation Policy |
| MF00606 |
Acknowledgement of Receipt of Notice of Privacy Practices |
| MF00607 |
Procedure Translation Statement by Health Professional |
| MF00612 |
Prescription Blank for Your Specific State |
| MF00613 |
Authorization For Use or Disclosure of Health Information |
| MF00614 |
Notice of Privacy Practices |
| MF00615 |
Cosmetic Surgery Financial Agreement |
| MF00616 |
Patient Referral Form |
| MF00617 |
Release of Patient Medical Information |
| MF00618 |
Advance Health Care Directive |
| MF00628 |
Restylane Pre-Treatment Instructions |
| MF00630 |
Restylane Frequently Asked Questions |
| MF00621 |
Patient Rights |
Fully Editable: Easily modify forms to your office needs using Microsoft Word's editing tools, add your own practice company information, insert your practice logo, change/edit/add form fields, add images to your forms and print to any desktop printer to black & white or full color forms, print as needed and change forms as often as needed; forms completely modifiable to meet your exact practice needs.
For Use With: Form is compatible with Microsoft Word 97 and later versions for Windows version and Word for MAC 4.21 and later versions.
Software delivery: Product is available as electronic download, you will receive your software by e-mail link as soon as purchase is approved by online processor.
|
