Form/Policies and Financing


 

Cosmetic Client Office Policies

  • New patients must submit their new patient paperwork 24 hours before their appointment in order to be seen so it can be processed and reviewed prior.
  • 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 $100 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

We now offer Scratch Pay Financing for all your Cosmetic and Medical Needs. Click Here!

scratch pay

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