REGISTRATION

Please download, print and complete the following appropriate forms to reduce your waiting time in the office. If you have any questions, you may ask a staff member on arrival or call us at 615-279-5656.

Registration Form
Patient History
Patient Policies
Financial Agreement
Financial Waiver
Application for Employment


* Note: Please keep in mind that the following procedures are considered cosmetic. Therefore, we will not file this with your insurance.

Acne Surgery – removal of whiteheads
Botox
Corns
Collagen
Ear Piercing
Ear Lobe Repair
Hylaform
Intense Pulse Light
Laser Hair Removal
Restylane
Sclerotherapy
Skin Tags
Tattoo Removal
TCA Peels
Waxing

 

 

SkinMD • phone 615-279-5656 • 4515 Harding Pike, Suite 310 • Nashville, Tennessee 37205