Medi-Spa LLC
Patient Forms
New Online Pop-Up Forms!
Save a tree: complete and submit online
Medical History Required for ALL Procedures.
Dysport/Botox/Xeomin Informed Consent.
Pre & Post Laser Instructions.
Laser Treatment Release.
PDF Download Patient Forms
Gingerlily Medical Spa→
Virginia Surgical MedSpa→
Whole Health Wellness Center and MedSpa→
Dr. Zidi Berger→
Forms Required for Dr. Alexander/Gingerlily Medical Spa
- Print these forms and bring them with you to your appointment.
- Bringing them fully completed is required as part the promotion.
- They are not available at the location.
- Bring your Groupon and wear comfortable clothing that will allow Dr. Alexander and our Registered Nurse to access the treatment areas.
- You may return to normal activity immediately following the treatment.
- Thank you! We look forward to helping you achieve all your Non-Invasive Cosmetic Enhancement goals!
Dr. Alexander General Health History REQUIRED FOR ALL TREATMENTS
All Patients Client Interests
All Patients Privacy Notice
Information Retail Patients Refund Policy
All Patients Treatment Records
Information What a Result Means
Information General NICE (Non-Invasive Cosmetic Enhancement) FAQs
All Patients VelaShape Informed Consent REQUIRED FOR VELASHAPE
Information VelaShape Q&A
Information How VelaShape Works
All Laser Patients Laser Treatment Release
All Laser Patients Skin Type Analysis
All Laser Hair Reduction Patients Hair Reduction
Definitions of Small, Medium and Large LHR Areas
Forms Required for VA Surgical MedSpa
- Print these forms and bring them with you to your appointment.
- Bringing them fully completed is required as part the promotion.
- They are not available at the location.
- Bring your Groupon and wear comfortable clothing that will allow our Registered Nurse to access the treatment areas.
- You may return to normal activity immediately following the treatment.
- Thank you! We look forward to helping you achieve all your Non-Invasive Cosmetic Enhancement goals!
All Patients VASMS Health History
All Patients Client Interests
All Patients Privacy Notice
Information Retail Patients Refund Policy
All Patients Treatment Records
Information What a Result Means
Information General NICE (Non-Invasive Cosmetic Enhancement) FAQs
All Patients VelaShape Informed Consent
Information VelaShape Q&A
Information How VelaShape Works
All Laser Patients Laser Treatment Release
All Laser Patients Skin Type Analysis
All Laser Hair Reduction Patients Hair Reduction
Definitions of Small, Medium and Large LHR Areas
Forms Required for Whole Health Wellness Center and MedSpa
- Print these forms and bring them with you to your appointment.
- Bringing them fully completed is required as part the promotion.
- They are not available at the location.
- Bring your Groupon and wear comfortable clothing that will allow our Registered Nurse to access the treatment areas.
- You may return to normal activity immediately following the treatment.
- Thank you! We look forward to helping you achieve all your Non-Invasive Cosmetic Enhancement goals!
All Patients Client Interests
All Patients Privacy Notice
Information Retail Patients Refund Policy
All Patients Treatment Records
Information What a Result Means
Information General NICE (Non-Invasive Cosmetic Enhancement) FAQs
All Patients VelaShape Informed Consent
Information VelaShape Q&A
Information How VelaShape Works
All Laser Patients Laser Treatment Release
All Laser Patients Skin Type Analysis
All Laser Hair Reduction Patients Hair Reduction
Definitions of Small, Medium and Large LHR Areas
Forms Required for Dr. Zidi Berger, MD
- Print these forms and bring them with you to your appointment.
- Bringing them fully completed is required as part the promotion.
- They are not available at the location.
- Bring your Groupon and wear comfortable clothing that will allow Dr. Berger to access the treatment areas.
- You may return to normal activity immediately following the treatment.
- Thank you! We look forward to helping you achieve all your Non-Invasive Cosmetic Enhancement goals!
Dr. Berger General Health History
All Patients Client Interests
All Patients Privacy Notice
Information Retail Patients Refund Policy
All Patients Treatment Records
Information What a Result Means
Information General NICE (Non-Invasive Cosmetic Enhancement) FAQs
All Patients VelaShape Informed Consent
Information VelaShape Q&A
Information How VelaShape Works
All Laser Patients Laser Treatment Release
All Laser Patients Skin Type Analysis
All Laser Hair Reduction Patients Hair Reduction
Definitions of Small, Medium and Large LHR Areas
