forms

The necessary evil.

We all hate paperwork, but it is a necessary evil. 

Find your procedure below to see the necessary information that we need before the procedure can be done. fill out the required forms and click submit. No payment is required in this step.

The information you submit will remain private and only used by Rebel Med Spa to perform your procedure safely.

IV Vitamin Bar or Injections

  • FILL OUT ONLINE - Medical History
  • You will be required to fill out a Consent Form at the procedure.

Botox / Xeomin or Microneedle

  • FILL OUT ONLINE - Medical History
  • You will be required to fill out a Consent Form at the procedure.

Ketamine

  • FILL OUT ONLINE - Medical History
  • You will be required to fill out a Consent Form at the procedure.