THANK YOU!

Thank You for Contacting Me.

Thank you for contacting me! If your request is especially urgent, please feel free to contact me by phone at 925.518.5212.

Medical-grade microneedling

Patient Intake Form

Please download, print out and fill out all three pages of this form after we’ve spoken by phone and we’ve scheduled your initial appointment.

Be sure to bring this filled-out form to your scheduled consultation.