Forms and Policies

Our goal is to provide quality care to our patients in a timely manner. No-shows, late arrivals & cancellations inconvenience not only our patients, but our staff as well.  

To be respectful of fellow patients, please call 262-208-4555 or email info@lakecountryaesthetics.com at least 24 hours in advance. Your advanced notice will allow another patient access to that appointment time.  

If an appointment is cancelled less than 24 hours or there is a 'no show,' there is a $100 missed appointment fee. Thank you for understanding.

We do not accept commercial insurance. Pricing is determined by the extent of each individual treatment. We are sensitive to cost & offer the most reasonable prices possible, for the highest grade ingredients that produce the most rapid & robust results. General pricing is routinely discussed before treatment. We offer a wide variety of payment options, including Care Credit.

• Cash/Check/Debit
• Electronic Payment 
• Care Credit
• Credit Card
• FSA/HSA Cards

Patient Intake Form

Photo Consent Form