Patient Forms

At Body By Leverett, we strive to make each and every visit as easy and convenient as possible. If you are a new patient to our clinic or returning after being gone for over 12 months, you may save time by completing the following patient forms prior to your appointment. If you should have any questions, please contact our office or you may ask them at your consultation appointment with Dr. Leverett.

Forms English

• Patient Online Registration and Medical History Form
• Cosmetic Interest Questionnaire
• HIPAA
• Skincare Assessment Form

Forms Spanish

• Patient Online Registration and Medical History Form
• Cosmetic Interest Questionnaire
• HIPAA
• Skincare Assessment Form