Dr. Beth Comeau Patient FormsTo help save time during your visit with Dr. Comeau, below are links to forms and information. Our office staff will let you know which forms and information you will need prior to your visit. Please print, complete and bring the necessary forms with you at the time of your appointment. Click the form names below to access printable PDF versions of our forms.

New Patient Forms

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NEW – COVID-19 Consent Form

– This form is now required by all patients for any appointments from May 18, 2020 and beyond (until further notice).

NEW – Mandatory Health Declaration

– This form is now required by all patients for any appointments from May 18, 2020 and beyond (until further notice).

Patient Medical History

– This form is required prior to Dr. Comeau seeing any patient, and is meant to inform our office of any medical history or medications that may be relevant to procedures or treatment.

Photo Consent Form

– This consent form authorizes this medical practice and individual members of their staff to use these photographs for Dr. Beth Comeau’s “Before and After” Treatment Record. Your refusal to consent to photographs will in no way influence your treatment.

HIPPA Privacy Policy

– This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. Please review prior to treatment.

HIPPA Consent Form

– The Health Insurance Portability and Accountability Act of 1996 (HIPAA) protects patient information. Please review and sign this form prior to treatment.

E-mail and Text Consent

– This form gives Dr. Beth Comeau’s office permission to contact you via email and text.

Skin Type Matrix

– Questionnaire to determine your skin type for proper treatment.

CoolSculpting Forms

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CoolSculpting Photo Consent Form

– Photographs are taken to capture treatment outcomes for the CoolSculpting® procedure. Prior to your CoolSculpting procedure, please print and sign this form and bring it with you.

CoolSculpting Treatment Considerations Form

– What you can expect from CoolSculpting, including Temporary Sensations / Symptoms, Potential Side Effects / Risks and Results.

Pre-Procedure Prep

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Proper preparation for your treatment is imperative. Click the links below to learn how you can prepare for your treatment.

Click here to learn how to best prepare for your Dermal Filler, Botox or Dysport treatment.

Directions to Our Office

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– Use this printable set of directions to locate Dr. Comeau’s Ellicott City, Maryland office. For your convenience, Google map directions are located on the right.

Click here for printable directions to our office.