Patient Forms

We can’t wait to meet you…

Welcome to Koger Cosmetic Clinic & Medspa. We are so excited to learn more about you, your goals, your expectations and look forward to making your dreams a reality.

This is where your transformation begins

For your convenience, we provide online and downloadable versions of our New Patient Forms and the Surgery Financial Policy.  Please fill out and submit the online forms prior to your visit. For downloadable forms, please print and fill them out at your leisure, and bring the completed forms with you to your first appointment. We ask that you arrive 15 minutes prior to your scheduled appointment time and allow approximately one hour for your consultation process.

NEW PATIENT INTAKE FORMS

New Patient Paperwork (Fill out online – complete prior to your appointment)

Printable Version –  New Patient Paperwork (Please download and complete prior to your appointment)

SURGERY FINANCIAL POLICY

Surgery Financial Policy (Fill out online prior to your appointment as necessary)

Printable Version – Surgery Financial Policy (Please sign prior to your appointment as necessary)

We understand that sometimes it’s necessary to reschedule or cancel an appointment. Please understand that such changes not only affect your surgeon, but other patients as well and ask that cancellations be made 24 hours in advance.

If you have any questions before your appointment or consultation, please contact us.


Koger Cosmetic Clinic & Medspa
4600 Military Trail, Suite 202
Jupiter, Florida 33458
Phone: 561-748-1565
Fax: 561-748-1568