Aesthetic Patient Forms

In order to limit the handling of forms and pens by both patients and clinic staff we ask that prior to your appointment, please complete the necessary forms and email them to our clinic at aesthetics@silveradomedical.ca or submit the completed forms directly to us using the tool below. Thank you!

*Some forms may require you to download and print, to fill out.

Patient Demographic Sheet

CoolSculpting® Patient Intake Form

Haircoach Consult Intake Form

Fitzpatrick Skin Type Quiz

Click here for medical patient forms.

Submit Completed Forms Here: