Radiance Medspa of Old Town

Patient Information and Payments

Patient Information

For all non-retail purchases at Radiance of Old Town, we require clients to fill out HIPAA and Medical History forms. We have made them available here for your convenience.

To make your experience at Radiance an even more enjoyable one, please print and fill out these forms ahead of time to avoid doing the paperwork later!

HIPAA Form

Medical History Form

Payment Information

Radiance of Old Town accepts all major credit cards.