PRPclinic.ca Forms

• Patient Instruction Forms
• New Patient Consultation Form
• Virtual Care Consent Form
• Hair Loss Consultation Form
• PlexR Consent Form

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  BioTe BHRT Patient Forms

Botox for Medical Use (chronic headaches)

• HIT (headache impact survey)

Consent: Botox and Filler (including Lip Filler)

• Botox Consent Form ( Botox, Dysport, Xeomin, Nuceiva )
  
• Dermal Filler (including Lip Filler) Consent Form
• Botox for Medical Use
• Bocox / Priapus Toxin Consent 
• Hyaluronidase (filler dissolver)

Consent: PRP Hair, Vampire Facial, Other

• PRP Hair Treatment Consent Form
• PRP Injection Consent Form (Vampire Facial, O-Shot, P-Shot, etc)

Consent: Venus Versa® and Facial Treatments

• IPL / AC Dual Consent Form
• Venus Viva RF
• Venus Diamond Polar / OctiPolar
• Facial and Peels Consent

O-Shot® Surveys and Consent Form

• FSFI
• FSDS-R
• QUID – Urinary incontinence / Leaking Questionnaire
• O-Shot Consent Form
• Clitoxin® Consent Form

Priapus P-Shot®

• EDIS Survey
• Shockwave Therapy
• ADAM Questionnaire
• Bocox® Consent Form

• Joints
• KOOS12 – Knee Injury and Osteoarthritis Outcome Score
• QuickDASH (Disabilities of the Arm, Shoulder, and Hand)
• HOOS12 – Hip disability and Osteoarthritis Outcome Score
• VISA-P – Patellar Tendon
• VISA-A – Achilles Tendon
• SEFAS – Self-reported Foot and Ankle Score