954.300.5371 Fax: 910.430.4400 info@platinummobilemedspa.com


Please fill out the appropriate forms required prior to your appointment.  Our medical provider will answer any questions you have and review the forms with you prior to treatment.  All new clients must fill out the Client History form, along with the appropriate consent forms, pre and post procedure care instructions.

Botox/Dysport/Xeomin Consent
Dermal Filler Consent
Chemical Peel Consent
Massage Therapy Consent