Patient Information and Consent for Cosmetic Services 

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To expedite the check-in process, please print, fill out and bring the registration forms with you to your first visit.

Therapy Consent Form

818.322.0122

INFO@CICPROVIDERS.COM
COSMETIC INJECTABLES CENTER
14460 VENTURA BLVD.
SHERMAN OAKS, CA 91423

Aftercare Patient form forms

FORMS

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