Forms and Policies


 

Cosmetic Client Office Policies

  • New patients should arrive at least 30 minutes before their appointments to complete paperwork.
  • Please give a 24 hour cancellation notice for filler and Botox/Xeomin appointments. Please provide a 48 hour cancellation notice for Laser, Ultherapy or Cosmetic Thread Appointments. A 10% of the total service cancellation fee will be applied to the same day cancellation. no show/no call and applies to all appointments.
  • All cosmetic patient appointments will require a credit card to be kept on file.
  • If you are experiencing a medical emergency or you believe you are experiencing a life-threatening situation, call 911 immediately, or go to the emergency department of your nearest hospital.
  • For billing related questions please call our Billing Manager, Doris Chavez at 813-532-9997.
  • Add a 10% deposit will be required for cosmetic procedure/Laser appointments and will be applied toward the service. Your deposit will be applied to your visit and is nonrefundable in the case of a no-show appointment or same-day cancellation.
  • A $50 deposit is required for all aesthetic appointments and will be applied to your visit. It is nonrefundable in the case of a no-show appointment or same-day cancellation.
  • There will be a charge for any calls or pages outside of business hours.

Forms & Assessments

New Patient Forms

 


Health Screening Forms

Location
Qvita Health and Wellness
2734 Windguard Circle, Suite 101
Wesley Chapel, FL 33544
Phone: 813-501-4130
Fax: 813-501-4537
Office Hours

Get in touch

813-501-4130