Patient Forms

To expedite your visit, please print and fill out the General Skin & Health History Form found below.

Health History Form 

Also, please review the Allura Policies prior to visiting the clinic.

Allura Policies 

If you are visiting Allura for Bio-Identical Hormone Replacement Therapy please print and fill out the pertinent forms found below.

Please contact our office for lab orders that may be taken or faxed to your local lab.

FEMALE

Bio-Identical HIPPA Form

Bio-Identical Consent Form

Bio-Identical Release of Medical Info

Bio-Identical Release of Medical Records

Bio-Identical Patient Form

MALE

Bio-Identical HIPPA Form

Bio-Identical Consent Form

Bio-Identical Release of Medical Info

Bio-Identical Form Patient Form