Intake Forms

If this is your first visit to Cutis Medical & Surgical Centre, you will be asked to fill out an ‘Intake Form’ for Dr. Karen Edstrom or Ron Lemckert. For your convenience, you can print-off this form right now, fill it out in the comfort of your own home then bring it with you on the day of your appointment. Don’t forget to bring your health card, also.


DISCLAIMER: Individual outcomes, results and number of treatments recommended may vary based on individual patient needs, medical history, and circumstances. Cutis Cosmetic & Laser Centre cannot guarantee exact or permanent results or cures.