REQUIRED FORMS

ALL PATIENTS ARE REQUIRED TO FILL OUT THE "PATIENT HISTORY FORM", "NEW PATIENT FINANCIAL POLICY", AND "DISCLOSURE OF HEALTH INFORMATION-HIPPA" AS WELL AS ANY OTHER FORMS FOR SERVICES SUCH AS "IV CONSENT FORM, PHLEBOTOMY, BHRT CONSENT FORM, BOOSTER SHOT CONSENT YOU MUST OPEN A VAGARO ACCOUNT, WE NEED THIS FOR COMMUNICATION, ONLINE SCHEDULING, ETC. FORMS ARE NOT OPTIONAL, THIS IS A MEDICAL PRACTICE AND WE ARE REQUIRED BY LAW TO OBTAIN THIS INFORMATION; FILLING IT OUT FULLY WILL HELP TO BETTER YOUR CARE; HOWEVER IF THERE ARE THINGS YOU WOULD RATHER DISCUSS IN PERSON SUCH AS CERTAIN MEDICAL HISTORY OR MEDICATIONS, PLEASE NOTE THIS AND WE CAN DISCUSS AT YOUR VISIT.   A VISIT AT CONFIDENCE 360 LLC IS NOT DIFFERENT THAN GOING TO YOUR DOCTORS OFFICE AS FAR AS REQUIRED FORMS ARE CONCERNED.

skin rejuvenation Rejuvenation

Fear not! This printable document will let you know what to expect from start to finish!

Vaginal Rejuvenation

4 locations- Connecticut  & Maryland

Vitamin IV Therapy, Micro-needling Skin Rejuvenation, HRT, TRT, BHRT, Vaginal Rejuvenation, Phlebotomy  Services & more

*SERVICES/PRICES  ARE LOCATION DEPENDENT

Inside DPZ on West

Beauty salon in Danbury, CT

81 West St, Danbury, CT 06810

Main Location 

31 Grecenko Ci, Southbury, CT 06488

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Inside The Powerhouse Gym "The Super Gym"

 31 Bernhard Rd, New Haven, CT 06473

*Restorasis Health

182 Thomas Johnson Drive, Suite 100, Frederick, MD 21702

T: (301) 668-0002