By printing and completing the forms below, people visiting us for plastic surgery from Walnut Creek, CA and other nearby communities can help us welcome them to the practice and save time during their first visit. If you have questions about the information we are requesting, we’re happy to help. You can contact us online or call (925) 685-4533.
New Patient Registration Forms
To download, fill out and print forms for your visit, please click the following form icon:
Consultation Consent Form
You can download and review a copy of this form before your initial visit:
Notice of Privacy Practices
You can download and review a copy of our Notice of Privacy Practices before your initial visit:
MSpa Intake Form
To download, fill out and print your intake form for your visit to MSpa, please click the following form icon:
Injectable Treatment Consent Form
If you will have facial augmentation with injectable dermal fillers and/orbotulinum toxin type A (BOTOX, Dysport, Xeomin) please download and review this form before your visit to MSpa:
Meet Dr. Mariotti
Dr. Mariotti offers much more than beautiful results – he’ll ensure that you feel relaxed and cared for. Discover why people from around Walnut Creek trust him for their plastic surgery.