Call Today! 561-826-6650
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NEW PATIENTS WELCOME!

 

Patient Forms

Please fill out document below and fax to (561) 826-6649 or email to This email address is being protected from spambots. You need JavaScript enabled to view it. to expedite the registration process.
Click each link to download PDF file.  NEW PATIENTS PLEASE FILL OUT THE NEW PATIENT PACKET FORM BELOW!

 

For the full HIPAA Policy, please click here: Elite HIPAA Privacy Notice

 

Financing Available

As a service to our patients, we offer CareCredit, the nation's leading patient payment program.  With CareCredit, you can finance 100% of your medical and cosmetic procedures, and there are no upfront costs, no annual fees, and no pre-payment penalties.  Your treatment can begin immediately, as is paid by individualized monthly payment plans that fit according to your budget.  CareCredit is a simple way to consoludate and manage out-of-pocket healthcare expenses.  CareCredit is a credit card with a revolving line of credit that can be used repeatedly for any family member. 

                                                     care credit

 

Cancellation & Return Policy

Fawn Winkelman, D.O., and her staff at Elite Medicine and Aesthetic Institute understand that sometimes it's necessary to postpone or cancel an appointment or procedure at our office. Please review our guidelines for such situations, and be sure to notify us as soon as possible if you have a change of plans that necessitates a rescheduling or cancellation.

Cancellations:
We understand that a situation may arise that could force you to reschedule, postpone, or cancel your appointment or procedure. Please understand that such changes affect not only your Physician and her staff at Elite Medicine and Aesthetic Institute, but other patients as well. We appreciate your courtesy and ask that you notify us at least 24 hours in advance if you are unable to keep your appointment.

Refund Policy:
Treatments, Skincare Products, Medications, and Vitamins purchased are non-refundable, non-transferable and non-exchangeable.  Once services are rendered or products sold, there are no refunds. All procedures, medical, aesthetic, surgical and non-surgical come with no warranty (guaranteed or implied) of any certain result. Perceived lack of improvement in one's condition does not translate into any type of refund.

No Show Policy:
Please be courteous and cancel if you change your mind. There will be a $50 no show fee added to your next service in order to compensate Elite Medicine and Aesthetic Institute for lost revenue.

 

 

 

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