Please print and fill out the following forms and make certain you bring them with you the day of your appointment. Please remember to bring a drivers license and your insurance card (if applicable to your procedure) to your visit. If you are seeing Dr. Francel for a cosmetic consultation, your $100 fee will be due at the time of your appointment.
Patients of Dr. Francel
If your visit is related to Surgery, Botox® Cosmetic, Dermal Fillers or Laser Treatments, please fill out the Dr. Francel Forms
Skin Care Patients
If your visit will include Chemical Peels, Microdermabrasion or general Skincare Consultation/Education, please fill out the Francel Aesthetics Form
**Please note that we have a waiting area with limited seating and no food or drink is allowed. We kindly ask that you make prior arrangements for child care as our waiting area is not equipped for small children.