Please fill out both medical history form and any other consent forms related to your procedure. All consent forms are in pdf format, they are best viewable and editable in Adobe Acrobat. See download link below. Mobile view must open files in Acrobat in order to edit and submit forms electronically.

You can also quickly apply for credit options. Cash payments receive 20% off!

Mandatory

Choose Procedure Consent Form

Payment Options

Apply for CareCredit

Apply for Cherry Pay

Receive 20% Off for Cash Payments

Kathy was very professional. She explained thoroughly to me on what and how Dysport works. She is very caring and so passionate. I traveled a couple hours to go see her and it was well worth it. I will go back!
— Shelley Moss Atchison
Kathy is a wonderful NP!! She is very knowledgeable and always advocates for her patients! I would recommend her to anyone!
— Alyssa Karcher
I work with Kathy. She is an amazing person, she treats her patients with kindness and compassion! Kathy is a respected NP at our hospital. We are lucky to have her.
— Domeka Melvin
Professional and knowledgeable nurse She didn’t try to upsell me on extras and created a personalized plan for me. I felt she was easy to talk with and she explained the process well. I feel better after going and I plan on returning soon. Highly recommend her!
— Glenda Mills