Patient Information and Medical History

Patient Forms

Please print these forms and bring with you on your appointment date:

To-do List:

1) Schedule an appointment.
2) Take shirts to the dry cleaners.

To: Congress Cosmetic Medical Corp.


Dear Congress Cosmetic Medical Corp.,
interested in scheduling an appointment with you and would like to receive information about . Please at your earliest convenience.

Congress Cosmetic Medical Corp.

p (626) 585-9474

π (626) 585-9480