Practice Forms
Complete these forms before your visit to save time and ensure we have all the information needed to provide you with the best care.
Before Your Visit
- Download and complete the required forms for your visit type
- Print the completed forms or save them as PDFs
- Bring the forms with you to your appointment or email them to staff@tirmal-md.com
- If you have questions about any forms, please contact our office
New Patient Forms
Required forms for first-time patients
Medical Records Releases
Authorizations to transfer your medical records
Intake Packets
Annual physical and wellness program intake
Vaccine Consents
Immunization consent forms for the 2025–2026 season
Aesthetic Consents
Consent and post-treatment instructions for aesthetic procedures
Scarlet Microneedling Patient Consent
Consent for Scarlet RF microneedling treatment
Scarlet Microneedling Post-Treatment Instructions
Aftercare guidance following microneedling
AquaFirmeXS Patient Consent
Consent for facial & hair restoration AquaFirmeXS treatment
DE|RIVE Hair Restoration Post-Treatment Instructions
Aftercare guidance following DE|RIVE hair restoration
Need Help With a Form?
If you have trouble downloading a form, or would prefer that we send paperwork directly to you, contact our office and we'll be glad to help. You may also complete forms when you arrive for your appointment.
Contact Us for FormsReady to Schedule Your Visit?
Once you've reviewed the required forms, schedule your appointment online or contact our office.