Patient Information

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. Below are links to our patient information and medical forms. We have also included a privacy statement for you to review and keep for your records. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

    Patient Information   Medical Information   Privacy Statement


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If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

 
 

Anna D. Guanche, MD     Laser     Surgical     Non-surgical     Skin     Dermatology    Aesthetician
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Dr. Anna Guanche | Bella Skin Institute | 23622 Calabasas Rd, Suite 339 Calabasas, CA 91302 | Tel: (818) 225-0117 Fax: (818) 225-0127

Located in the prestigious Calabasas area, Bella Skin Institute is a full service dermatology, laser and aesthetic surgery practice directed by Dr. Anna Guanche and associates. We use state-of-the-art equipment such as GentleLase hair removal system for safe, effective hair removal, VBeam pulsed light laser for vascular lesions, the Perfecta System for pigmented lesion removal and the revolutionary SilkPeel dermalinfusion microdermabrasion system. Bella Skin Institute serves Calabasas, Hidden Hills, Woodland Hills, Malibu, Agoura, Westlake Village, West Hills, Tarzana, Thousand Oaks, Bell Canyon and Encino.
 

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