Lena D. Karkalas, DDS
Creating Beautiful Smiles
Call: (401)861-2140

Botox Patient Forms

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

Trigger point  (TMJ Patients)

Botox Treatment  (All Patients)


Pre-Treatment Instructions

Post Treatment Instructions 


View More