Dr. Cooley develops a personal relationship with every patient in order to better understand each patient’s goals and desires so he can customize a treatment plan and provide a realistic solution on your situation and hair type. If you have any questions or comments, or if you want to learn more about the services we provide, please complete the form below.
To save time during your appointment, you can fill out these forms at home and then bring them with you.
- Notice of Privacy
- Acknowledgement of Receipt of Notice of Privacy Practices
- Patient Information
- Patient Registration
- Medical History
- Office Policy
- Patient Information Release Authorization(Optional)
Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.