PATIENT FORMS

PLEASE NOTE:

DOCERE MEDICAL
IS A FRAGRANCE FREE ZONE.

If you or someone accompanying you arrive wearing cologne, perfume, or scented lotions or hair products, you will not be permitted into the clinic.

PLEASE DOWNLOAD

Please download and fill out the following forms prior to your visit. For your convenience, forms are fill-in PDF files. If you have any trouble filling out these forms, please contact us at any time for assistance.

FREE GIFT

SEX &
SKIN Top 10

Integrative and Regenerative Strategies for Optimal Sexual Function and Skin Health

DOWNLOAD NOW

or call us (435) 604-0438