• Home
  • Services
    • The Skin Cancer Treatment Center
    •   Skin Cancers
    •   Treatment Options
    •   MOHS Micro-
        scopic Surgery
    • ---------------------------------------------
    • Foothill Cosmetic Surgery Center
    •   Botox
    •   Facial Fillers
    •   Fat Transfer
    •   Fraxel Re: Pair®
    •   IPL/Photofacials/PDT
    •   Laser Hair
        Removal
    •   Laser Vein
        Removal
    •   Eyelid
        Rejuvenation
    •   Liposuction
    •   Chemical Peels
    •   Microdermabrasion
    •   Laser Tattoo
        Removal
    •   Removal of
        Freckles/Port-Wine
        Stains/Pigmentation
    •   Latisse®
    • ---------------------------------------------
    • Acne Treatment Center
    •   What causes
        acne?
    •   Acne scarring
  • About FDMC
    • The Physicians
    • Testimonials
    • Forms/Info
    • Before/After
  • The Emporium
    • Acne Kit
    • Moisturizers
    • Pads
    • Rejuvenation Products
    • Revale Rejuvenation
    • Sunblocks
    • Washes/Cleansers
    • Make-Up
  • Specials
  • News & Events
  • Contact

Form and Information at Foothill Dermatology Medical Center

Forms and Information DownloadAll document are in PDF format.

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Welcome InformationPatient Registration Forms
Cancelation and Financial Agreement
Dermatology Medical History

Medical/Surgical Forms
Pre-op Instructions
Post-op Instructions
List of Blood Thinners
Sensitive Skin Care Precautions

Cosmetic FormsEyelid Rejuvenation Post-op
TCA Peel Instructions
Liposuction Instructions
Cosmetic Interest Questionaire


Servicesat FDMC

    Foothill Cosmetic Surgery Center
  • Botox
  • Facial Fillers
  • Fat Transfer
  • Fraxel Re:Pair
  • Laser Hair Removal
  • Liposuction
  • Laser Vein Removal
  • Eyelid Rejuvenation
  • Microdermabrasion
  • IPL/Photofacials/PDT
  • Chemical Peels
  • Laser Tattoo Removal
  • Removal of Freckles/Port-Wine Stains/Pigmentation
  • Latisse
  • _____________________________

    The Acne Treatment Center
  • What Causes acne
  • Acne Scarring
  • _____________________________

    The Skin Cancer Treatment Center
  • Skin Cancers
  • Treatment Options
  • MOHS Micrographic Surgery
  • _____________________________

    Emporium Products

  • Acne Kit
  • Make-up
  • Moisturizers
  • Pads
  • Rejuvenation Products
  • Revale Rejuvenation
  • Sunblock
  • Washes / Cleansers

 

Home l The Skin Cancer Treatment Center l The Acne Treatment Center l The Skin Rejuvenation and Laser Center l About FDMC l Specials l News l Contact Us
Emporium l Forms and Info l The Physicians l Botox l Liposuction l Fat Transfer l Laser Hair Removal l Eyelid Rejuvenation l Fraxel Re:Pair®
Serving you in locations near l San Dimas l Glendora l Covina l West Covina l Azusa l La Verne l Duarte l Monrovia l Claremont l Montclair l Rancho Cucamonga l Ontario l
San Bernardino l Redlands l Pomona l Baldwin Park l Upland l Fontana l Rialto l Highland l Chino Hills l Phillips l Ranch l Sierra Madre l Bradbury

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