Patient Forms
Below you may download the form or handout you need as a PDF file. These you may fill out at home and bring into the office, or fax them to us at (818) 907-9506.
New Patient Registration Forms
- Registration Form
- Complaint and History Form
- Confidential Channel of Communication Form
- Consent for Treating of Minor
- Patient Acknowledgement an Authorizations
- Patient Financial Policy
- Patient Request for Health Information
Surgery Forms & Instructions
- Surgical Patient Questionnaire
- Post-Operative Discharge Instructions
- Pre-Operative And Post-Operative Instructions For Chemical Face Peel And Laser Resurfacing
- Medications To Avoid 14 Days Before Surgery
- Acknowledgment of Patient Rights
- Rescheduling and Cancellation Policy
Post Operative Care Handouts
- Botox
- 5 Fluorouracil
- Compresses
- Tretinoin / Retin-A
- Liquid Nitrogen Therapy
- HQRA (Bleaching Creams)
- Wart Therapy – Canthacur PS
At American Skin Institute of Los Angeles, we're proud to offer Patient Forms to the Los Angeles area and across Southern California. With three locations in Sherman Oaks, Beverly Hills, and Westlake Village, we are easily accessible to residents throughout the San Fernando Valley and surrounding areas for Patient Forms, including: Agoura, Brentwood, Burbank, Calabasas, Camarillo, Chatsworth, Encino, Glendale, Granada Hills, Hollywood, Los Angeles, Mission Hills, Moorpark, North Hollywood, Simi Valley, Tarzana, Thousand Oaks, Valley Glen, Westwood, Woodland Hills