Medical Spa Intake Forms


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These intake forms help put your medical spa on solid legal ground when they’ve been completed by your patients. This package include consents to treatment, photography and telemedicine (including a COVID-19-related variant), as well as release and disclosure forms, contact forms, privacy notices, and much more.

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The Intake Forms package includes the following.

  • Authorization to Release and Disclose Photographs
  • Informed Consent – COVID-19 Pandemic
  • Notice of Privacy Practices
  • Patient Acknowledgment of Provider
  • Patient Consent for Photography
  • Patient Consent to Telemedicine Services
  • Patient Consent to Telemedicine Services – COVID-19
  • Patient Consent to Treatment
  • Patient Contact Authorization
  • Patient Financial Responsibility Agreement
  • Patient Information

Vendor Information

  • Store Name: American Med Spa Association
  • Store Email Address:
  • Address: 224 N Desplaines
    Ste 300
    Chicago, IL 60661
    United States (US)
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