• 8381 Old Courthouse Rd Suite 300 Vienna, VA 22182 (703) 288-0085

Forms

Thank you for visiting eLaserClinic.com

In order to help you get a head start in the consultation process before your first visit, please click below and fill out the form.

Client Information Sheet

All information is strictly confidential and is only used for the purpose of the Consultation, in order to assess whether you are a candidate for the treatment you are seeking.

It also expedites the process so when you arrive for your Consultation appointment, you do not have to spend additional time filling out the forms. Your assigned Technician will go over all the information with you.

Once you have filled out the form, you can either bring it along with you to your FREE Consultation session that you have already scheduled with us, or you can simply fax it to (703) 288-1709 or email it to reception@elaserclinic.com , and we will review the information and contact you to complete the process.

Please note that if you book a FREE Consultation along with your first session for Full Body Laser Hair Removal at the same time, a $100 deposit will be required which will then go towards the service. But if a customer is no show and does not cancel 48 hours prior to the appointment, the deposit is forfeited.

 

Esthetic Laser Clinic Time Off Request

CALL NOW (703) 288-0085 to schedule your Appointment or Click Below