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New Patient Paperwork

• Billing Information Form (PDF)
• Medical History Form (PDF)
• Notice of Privacy Practices

New Patient Paperwork (Medicare)

• Medicare Billing Information Form (PDF)
• Medical History Form (PDF)
• Notice of Privacy Practices

Helpful Information

• Authorization For Info Release (PDF)
• Information about appointments and billing
• Common Insurance Questions

New Cosmetic Procedures

Short text about cosmetic procedures

• Chemical Peels
• Sclerotherapy
• Restylane
• Botox
• BLU-U Light Treatment for Acne

Get Answers to Your Questions

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Tel: (801) 266-8841 - 3920 South 1100 East Suite 310 Salt Lake City, UT 84124 - info@lswinyer.com
Monday through Thursday from 7:00 a.m. until 5:30 p.m. by appointment.