EGA MEDICAL
Turn Back Age
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Pretreatment Forms

 

For your convenience, we provide downloadable pretreatment documents. Please fill out the applicable forms before your appointment.

 
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Click the links below to automatically download your pretreatment forms:

PATIENT INFORMATION FORM- FEMALE

PATIENT INFORMATION FORM- MALE

PROTOCOL FOR PROFRACTIONAL

 
 

CANCELLATION POLICY

THINGS CHANGE, WE UNDERSTAND

However, in order to properly accommodate all of our patients we do have a strict cancellation policy. Credit card confirmation is required for every appointment.

  • Should you need to cancel please provide 48 hours notice to avoid being charged the full value of your appointment or $200 whichever is greater.
  • Should you need to reschedule you may provide 24 hours notice to avoid cancellation fees.

We realize plans change and thank you for your letting us know so we can accommodate other guests.