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 Dermal Fillers
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)
Informed Consent Dermal Fillers
Botox Treatment (All Patients)
151 Waterman St
Providence, 02906
Lena D. Karkalas, DDS
151 Waterman St
Email: [email protected]
Tel: (401) 861-2140
MON - TUE : 7:00 am - 2:00 pm
WED : Closed
THU - FRI : 7:00 am - 2:00 pm
SAT - SUN : Closed
