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Patient Registration Forms

To facilitate the registration process, many of the forms you need to complete prior to your visit for services are available online.

These files require Adobe PDF Reader. Click here to begin download.

Save the pdf forms to your PC and complete the forms.

Scan and email to bitnerstaff@gmail.com or Fax to (801) 773-4866

Consultation
Send Us an Email

Botox
Botox
Juvederm
John Bitner MD
2121 North 1700 West Layton, UT 84041 - View Map
Phone: (801) 525-8727
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