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6038 W. Nordling Loop
Crystal River, Fl 34429

Phone (352) 563 5070
Fax (352) 795 4322

Office Hours
Monday to Friday
8 a.m. to 6 p.m.

Lab Hours
7:30 a.m.- 8:30 a.m.

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Categories

Weight Loss Patient Forms

Weight Loss Patient Forms ( 9 Files )

Pediatrics

Pediatrics ( 10 Files )

Tips for Parents

Tips for Parents ( 8 Files )

Tips and Advise on Safety, Nutrition and What to expect with raising children.
Visits & Vaccines

Visits & Vaccines ( 5 Files )

Followup schedule visit information

Clinic Patients

Clinic Patients ( 10 Files )

  • Adult New Patient
  • New Patient Registration
  • Disclosure of Information
  • HIPPA
  • HIPPA Receipt Form
  • Psychotherapuetic Medication
Skin Care

Skin Care ( 4 Files )

  • Patient History
  • Office Policies
  • Patient Consent
  • HIPPA
  • HIPPA Receipt Form
Laser Genesis

Laser Genesis ( 3 Files )

  • Consent Form
  • Pre and Post Care
Dermal Fillers

Dermal Fillers ( 3 Files )

  • Consent Form
  • Post Care Instructions
LimeLight Facials

LimeLight Facials ( 5 Files )

  • Consent Form
  • Pre and Post Care
  • What to Expect - IPL Package
  • What to Expect - IPL
Dermabrasion

Dermabrasion ( 4 Files )

  • Informed Consent
  • Post Care Instructions
Laser Vein Removal

Laser Vein Removal ( 3 Files )

  • Consent Form
  • Pre and Post Care
Botox Patient Forms

Botox Patient Forms ( 5 Files )

  • BOTOX Pack
  • Consent Form
  • What to Expect
  • Post Care Instructions
Laser Hair Removal

Laser Hair Removal ( 4 Files )

  • Laser Hair Packet
  • Consent Form
  • Pre and Post Care
  • What to Expect
Adult Clinic Forms
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Copyright 2010 IM&P Wellness Center.

IMP Wellness Center, Citrus County, Carlene Wilson, MD, specializing in, weight loss, obesity, lose weight, pediatrics,  primary, doctor, womens health, doctors office, citrus county doctor, citrus county physician,  diet doctor, botox, skin care, microdermabrasion, Juvederm,  Meadowcrest, medical weight loss, spider vein removal, laser hair removal, dermal fillers, laser diet, skin rejuvenation, limelight facials, Citrus County diet, Citrus County Botox, Beverly Hills, Citrus Hills, Pine Ridge, Sugarmill Woods, Lecanto, Crystal River, Inverness, Homosassa, Florida

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