Patient Forms

Save time and help us better serve your needs ...

At Carolina Laser and Cosmetic Center, your happiness and satisfaction are of paramount importance to us.

We invite you to print out and complete the following forms and bring them to your first visit, so that we may better serve you.

New Cosmetic Patient Information Form

New Medical Patient Information Form

Patient Questionaire

New Patient History Form - Men

New Patient History Form - Women

Dr Anne L. White, Carolina Laser and Cosmetic Center in Winston-Salem, North Carolina, has trained internationally in the latest techniques of cosmetic procedures, including Botox, Restylane, Perlane, Juvederm, Evolence, Dysport, Sculptra, Latisse, liposuction, laser hair removal, laser tattoo removal, laser skin rejuvenation and wrinkle resurfacing and vein treatment (laser and sclerotherapy).