New Patient Resources

Patient Resources

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.

Duo Male Survey

ALMA Duo Male Survey Esthetically Yours

Duo Female Survey

ALMA Duo Female Survey Esthetically Yours

Duo Informed Consent

ALMA Duo Informed Consent Esthetically Yours

Patient Information Form

Esthetically Yours Patient Information Form

IIEF Questionnaire

IIEF Questionnaire Esthetically Yours

IIEF Questionnaire 2

IIEF Questionnaire 2 Esthetically Yours

Orgasmic Function Assessment

Esthetically Yours Orgasmic Function Assessment

FSFI 1

Esthetically Yours FSFI 1

FSFI 2

Esthetically Yours FSFI 2

FSFI 3

Esthetically Yours FSFI 3

*Individual results are not guaranteed and may vary from person to person. Images may contain models.