Get Toc Med Spa

Filling out the Toc Med Spa online form is a straightforward process that allows you to easily register as a patient. This guide provides clear instructions for completing each section, ensuring that all necessary information is accurately captured.

Follow the steps to successfully complete your patient registration

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter today’s date in the designated field provided on the form.
3. Fill in your last name, first name, and middle initial in the respective fields. Ensure the spelling is accurate.
4. Provide your street address, including any apartment or suite numbers, to ensure proper delivery of services.
5. Indicate your city, state, and zip code in the required fields.
6. Enter your home phone, mobile phone, and work phone numbers, if applicable.
7. Fill in your email address to receive communications regarding your care.
8. Complete your date of birth and age and select your sex from the available options.
9. If applicable, provide your driver's license number.
10. If you have a spouse, include their name in the provided area.
11. If you are completing this form for a minor, list the name of the parent or legal guardian in the respective field.
12. Add an emergency contact's name, relationship to you, and their phone number.
13. In the section asking how you heard about Toc Med Spa, provide your response.
14. If you wish to receive updates about offers and events, check the box provided.
15. If you consent to pre-treatment and post-treatment photos, indicate your approval by checking the appropriate box.
16. Sign your name in the designated area to confirm the information provided is accurate.
17. Initial next to the acknowledgment of privacy practices section to confirm your understanding.
18. Once you have completed filling out the form, save your changes, then download, print, or share the form as needed.

Complete your registration online today and take the first step towards your treatment at Toc Med Spa.