Vaginal Rejuvenation Laser Sur
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Patient Forms

In an effort to save you time, we now have our new patient paperwork forms available for download for your convenience.

Please read the descriptions above each link to ensure you download the correct paperwork for the procedure you are interested in.

In you are interested in multiple procedures which fall under a different category, please fill out the one that is most relevant. If need be, we will have you fill out an extension during your appointment.

Please remember to bring these forms with you when you come in for your appointment. This will help in keeping us on time and you on schedule.

Thank you!

Cosmetic Patients: Please download this form if you are interested in a cosmetic procedure with Dr. Vu.

Cosmetic Paper Work

Hand and Reconstructive Patients: Please download this form if you are visiting Dr. Vu for a hand or reconstructive procedure.

Hand / Reconstructive Surgery

Aesthetics (Patrice Worman) Patients: Please download this form if you are interested in an aesthetic procedure.

Aesthetician Paperwork

Designer Laser Labiaplasty and Laser Vaginal Rejuvenation Patients: Please download this form if you are interested in our LVR (Laser Vaginal Rejuvenation), DLV (Designer Laser Vaginoplasty) or G-Shot procedures.

DLV / LVR Paperwork

First Name:
Last Name:
Phone: (optional)
Type the letters on the box (case sensitive):

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Vaginal Rejuvenation Laser Surgery