As a courtesy to our patients, we offer patient forms online. Please feel free to print out and complete the forms, and bring them with you to your first appointment. By filling out these forms ahead of time, you will save a significant amount of time during your check-in process. Please do not print double-sided.
Please be prepared to provide this information to our office along with your current medical insurance information.
Download Farrell Laser & Aesthetic Medicine Center patient information forms. (PDF)
Patients of Dr. Leo Farrell - Medical Records Request
Dr. Leo Farrell retired on December 31, 2024. If you would like to request copies of your medical records, please fill out the "Medical Records Release Form" that is linked below. This form is required to be completed for any records to be picked up or sent to another physician's office.
Once our office receives the completed form, please allow up to two weeks for the records to be prepared. If you would like to pick up the records, our office will schedule a time for you to pick them up.