Web Site for Patient Forms

Submit Patient Forms, Malverne, NY, is an Internet service that allows patients to fill out their HIPAA forms, personal and insurance information, and medical history online in the privacy of their homes, before visiting their physicians. Practices can link the forms directly from their Web site or can use the service without having a Web site. Patients can print a copy before they submit, at which time the practice gets an e-mail notification that a patient has registered. A staff person can go to a password-protected account and either view, print out a hard copy, or download the completed forms in PDF or JPEG format into the practice computer or electronic patient folder. Practices can validate the patient’s insurance coverage and “red flag” any medical problems before they arrive.

Submit Patient Forms
(888) 385-1535

Facial Peel

The Pro + Therapy In-Office Peel System from Kinerase, Aliso Viejo, Calif, is a two-component peeling system that includes a preparatory product and an in-office peel. The In-Office Peel Prep exfoliates dead skin cells from the outer layer of the skin and stimulates epidermal cell turnover in the deeper skin layers, which minimizes fine lines and wrinkles, discoloration, and uneven skin tone. The Procedure Recovery SPF 30 is applied daily after treatment to infuse moisture back into the skin and allow accelerated healing time.

(800) 321-4576

Eye and Neck Serum

Transformation Eye and Neck Serum from Anakin BioEnergetic Skin Care, Dahlonega, Ga, features a combination of alpha lipoic acid, encapsulated retinol, and vitamin C that treat turkey neck, crow’s feet, dark circles, and loose skin. The serum tightens the skin, restores lost elasticity, and nourishes deplted delicate tissue. It uses Aerobic Oxygen™ stabilized negative ions of oxygen, to supply each skin cell with oxygen without increasing oxidation or creating free radicals.

Anakiri BioEnergetic Skin care
(800) 545-7302

Wrinkle Filler

The Age Minimizer Line Filler by Redpoint is a colorless gel-cream that instantly retexturizes the skin and softens the appearance of fine lines, wrinkles, and pores. The product contains elastimide amino complex, a combination of peptides and moisturizers that diminish the appearance of fine lines and wrinkles and fight free-radicals; hyaluronic acid, which helps the skin retain moisture by drawing water in and instantly hydrating the skin; and jewel weed and mushroom extract, which contain antibacterial properties that instantly brighten the skin. The Age Minimizer Line Filler can be used on all skin types.

Intelligent Beauty
(310) 683-0940

Body Lotion

Acca Kappa, North Las Vegas, offers its moisturizing lotion, which is scented with Hibiscus flower. The lotion contains lemon extract, which improves the skin’s elasticity, and horse chestnut, which improves circulation.

Acca Kappa
(702) 633-8822

Moisturizing Serum

RéVive, Louisville, Tex, offers Intensité Fluide Superb, a serum used to moisturize dry skin. Intensité Fluide Superbe’s nanospheres capture and retain moisture, and enhance the absorption of cell-regenerating epidermal growth factor. The formula features an olive oil base and meadowfoam and linoleic acid, which rehydrate, condition, and smoothen the skin while calming inflammation. The formula also contains oil-soluble vitamin C, which increases collagen production and reduces melanin synthesis for firmer skin.

RéVive Skin Care
(888) 704-3440