• Bonita Springs 239-947-FACE
  • Marco Island 239-394-6637
  • Fort Myers 239-947-3223

New Patient Form and HIPPA Privacy Form

Please assist us by emailing your New Patient form to us to
CaseyOMFS@hotmail.com
or by faxing it prior to your appointment to
239-947-3223

HIPAA Privacy Form for your Review

Request your Complimentary Consult.

    What is your main interest?

    Facial Cosmetic Evaluation (Botox, Juviderm, fillers)Rejuv Facial Spa Services (Facials, Microderms, Peels)Facial Surgical Evaluation (Facelift, Eyelid surgery, Laser resurfacing)Body Surgical Evaluation (Tummy Tuck, Breasts, Lipo Suction)