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Vibrance Medical Spa

AUBURN (530) 885-3121
LINCOLN (916) 913-4151

Patient Forms

New Patient Intake Form

Contains:

  • Skin History
  • Personal History
  • Cosmetic History
  • Medical History

Download New Patient Intake Form

Download Informed Consent for Dermal Fillers

Auburn Office

Vibrance Medical Spa
3180 Bell Road #300
Auburn, California 95603

(530) 885-3121

Mon-Thurs: 8:30 a.m.–5 p.m.
Fri: 8:30 a.m.–12 p.m.

Lincoln Office

Vibrance Medical Spa
890 Groveland Lane #200
Lincoln, California 95648

(916) 913-4151

Mon-Thurs: 8:30 a.m.–5 p.m.
Fri: 8:30 a.m.–12 p.m.
Closed daily for lunch
12 p.m–12:45 p.m.

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