Botox Forms and Information
Please print and fill out all of the pages below that apply and bring with you to your appointment
Pain Health History ( All Patients)
Informed Consent
Botox Treatment (All Patients)
Please print and fill out all of the pages below that apply and bring with you to your appointment
Pain Health History ( All Patients)
Botox Treatment (All Patients)
151 Waterman St
Providence, 02906
Lena D. Karkalas, DDS
151 Waterman St
Email: Info@confidentsmiles.net
Tel: (401) 861-2140
MON - THU : 7:00 am - 2:00 pm
FRI - SUN : Closed
