Patient Forms

Hi,

I am here to answer all your questions about alternative cosmetic surgery solutions and get you all the information you need to decide if you want to arrange a complimentary consultation.

Please use this contact form to send me your info and I will call or email you back. Or, call toll free 888.722.SPAS and ask for Karen!

Here are our patient forms. Please print these out and fill them in prior to coming into the office. The forms are grouped by what you will need depending on the type of procedure you are scheduled for:

Non-Surgical Nose Job

Medical History
Radiesse Consent
Hippa
Arbitration Agreement
Cancellation Policy

Non-Surgical Chin Enhancement

Medical History
Radiesse Consent
Hippa
Arbitration Agreement
Cancellation Policy

Non-Surgical Cheek

Medical History
Radiesse Consent
Hippa
Arbitration Agreement
Cancellation Policy

Botox

Medical History
Botox Consent
Hippa
Arbitration Agreement
Cancellation Policy

Dysport

Medical History
Dysport Consent
Hippa
Arbitration Agreement
Cancellation Policy

Artefill

Medical History
Artefill Consent
Hippa
Arbitration Agreement
Cancellation Policy

IPL/Photofacial

Medical History
IPL Consent
Hippa
Arbitration Agreement
Cancellation Policy

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Alexander Z. Rivkin M.D. | Discover Alternative Cosmetic Surgery Solutions | Our Professional and Courteous Staff | Blog | What's New | Press | Patient Testimonials | Westside Aesthetics: Map and Directions | Treated Conditions for Cosmetic Clarity | Acne Skin Treatment | Acne Scars | Aging Face | Liver Spots & Aging Hands Laser Resurfacing | Age Spots Skin Treatments | VelaShape | Blepharoplasty Non-Surgical Removal of Dark Eye Circles | Non Surgical Jowl Lift | Loose and Sagging Skin Solution with Thermage | Non Surgical Nose Job: Rhinoplasty Without Surgery | Rosacea & Skin Pigmentation | Spider Veins & Varicose Vein Treatment | ReFirme™ Skin Tightening & Wrinkle Reduction | Hyperhidrosis, Sweaty Palms & Excessive Sweating | Latisse Eyelash Enhancer | Thin Lips Non Surgical Enhancement | TMD Treatment Alternative TMJ & Bruxism Solution | Affordable Laser Hair Removal | Non Surgical Solutions for Weak Chin | Botox Eyelift and Eliminating Facial Wrinkles | FAQ's - Acne Skin Treatments | FAQ's - BOTOX® | FAQ's - Fraxel® Laser Treatment | Cosmetic Injectables for Healthy Skin | Frequently Asked Juvederm™ Questions | Non-Surgical Laser Skin Treatments | Light Based Acne Treatment | FAQ's - Non-Surgical Cosmetic Treatments | FAQ's - Microdermabrasion | FAQ's - Non-Surgical Cosmetic Treatments | FAQ's - Rhinoplasty Surgery Without Surgery | FAQ's - Restylane Skin Treatment | FAQ's - Rosacea Treatment | FAQ's - Medical Spa Treatments | Frequently Asked Thermage Questions | FAQ's - Unwanted Hair Removal | Vi Peel | History of Non Surgical Aesthetic Enhancement | Non-Surgical vs Traditional Blepharoplasty "Eye Lift" | Non-Surgical vs. Traditional Chin Implants | Non-Surgical vs. Traditional Facelift | Non-Surgical vs. Traditional Rhinoplasty | Non-Surgical Cosmetic Treatment Benefits | Risks of Traditional Cosmetic Surgery | Resources | The Future of Cosmetic Surgery | What is a 10 Minute Nose Job? | What to Look For in a Plastic Surgeon / Specialist | Prices for Cosmetic Treatments | Contact Westside Aesthetics | BOTOX® Brow Lift | Non-Surgical Nose Job | Non-Surgical Blepharoplasty "Eye Lift" | Non-Surgical Chin Augmentation | Non-Surgical Cheek Implants | Non-Surgical Facelift | Non-Surgical Enhancement of Unsightly Feet | Non Surgical Cosmetic Treatments | Cosmetic Injectables | Laser Resurfacing Treatments | Light Based Acne Treatments: Blue Light, IPL & More | Spa Treatments at Westside Aesthetics | EVOLENCE | Artefill® The First Permanent Facial Filler | BOTOX® Cosmetic | BOTOX® Safety Information | Juvederm™ | Radiesse | Restylane | Sculptra | Fraxel Laser Skin Treatment | Active Fx CO2 Laser Resurfacing Treatment | IPL Photofacial | Thermage | Vein Treatment | Before & After Photos - Non-Surgical Cosmetic Makeovers | Sign Up for Our Newsletter | Flying In? | FAQ's - Non-Surgical Cosmetic Treatments | Westside Aesthetics - Malibu, California | Sitemap | Non-Surgical Nose Job Visualizer | Before & After Photos - Restylane for Facial Lines | Before & After Photos - Acne Scarring Treatment | FUE: No-Scarring Hair Transplant | Non-Surgical Jaw Reduction with Botox | Hotel Accommodations | Tourist Attractions | Restaurants | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | Before & After Photos - Non-Surgical Nose Job™ | Gallery | Oxygen Infused Facial | Our Professional and Courteous Staff | Patient Forms | @@post_notification_header

Westside Aesthetics has posted this website about cosmetic surgery treatments and non-surgical options for informational purposes only. The content within these pages should not be perceived as formal medical advice, nor does the understanding constitute a formal medical relationship with Westside Aesthetics. Contact any one of our three offices for formal advise and a free consultation. We are happy to assist clients throughout Los Angeles, Beverly Hills, Newport Beach, and Orange County, California.

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