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At Chrysalis Cosmetics, we are dedicated to delivering the best possible care, and to making your experience with us as pleasant and efficient as possible. With this goal in mind, we have provided online access to a patient information form that you can view, download, and print from the comfort of your home. If this is your first visit with us, we recommend filling out the new patient form in advance and bringing it with you to expedite your appointment. During your initial consultation, Dr. Charles Perry, our board-certified plastic surgeon, will discuss all aspects of the treatment you are considering, and we will be happy to answer any questions you may have before treatment and throughout the entire process.

Please click on the link below to download the form. If you have additional questions, we encourage you to reach out to our team.

*Effective November 1, 2019, please note that this office will no longer accept PERSONAL CHECKS as a form of payment. We will continue to accept cashier checks and credit cards.

Patient Form

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