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~ Enhancing your Natural Beauty ~
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Elite Cosmetics
in West Linn
Formerly known as "
West Linn Aesthetic Medicine
"
Patient Treatment Forms
Consent Form - Botox
Consent Form - Juvederm
Health History - Botox
Health History - Juvederm
Pre-treatment Instructions - Botox and Juvederm
"My approach to anti-aging is looking good for your age, refreshed, and above all, Natural."
Kelly Klingele, RN, Aesthetic Specialist
West Linn Elite Aesthetics
HIPAA - Notice of Privacy Practices ~
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Acknowledgement and Consent for the Notice of Privacy Practices
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sign this after reading HIPAA, Notice of Privacy Practices (in the above link)
Authorization to Disclose Information