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Patient Forms

Please find listed below, three forms that require completion (before/during) your initial visit to Avri Laser Aesthetics. For your convenience, you can download/print the forms, fill them out and bring them with you during your consultation session.

Patient Demographics and Skin Typing Questionnaire
Financial Responsibility Statement
Pretreatment Consent
Patient Interest Questionnaire
Questions to Ask Before Administering Hyaluronic Acid Dermal Fillers

 

Available at Avri Laser Aesthetics:

  • product - Latisse
  • product - Injectables - Botox
  • product - Injectables - XEOMIN
  • product - Dermal Fillers - Belotero
  • product - Dermal Fillers - RADIESSE
  • product - Skin Medica
  • product - Brilliant Distinctions
  • product - Volbella XC
  • product - Vollure XC
  • product - Voluma XC
  • product - Juvederm Ultra XC
  • product - Juvederm Ultra Plus XC

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Avri Laser Aesthetics Logo

125 West Yellowstone Ave.
Cody, Wyoming
(307) 587-1257
info@avrilaseraesthetics.com

Office Hours:

Monday - Thursday 8am - 5pm
Friday 8am - 12pm

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Gift Certificates

Give the gift of beauty to a friend! Please call or visit on of our locations to purchase.

Avri Laser Aesthetics Gift Certificate
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