Xeomin Treatment Consent Form – Austin City Dental

Please review and complete your Xeomin Consent

Before receiving Xeomin injections, we require all patients to complete this secure consent form. It explains how Xeomin works, what areas may be treated, possible side effects, and important safety information so you can make an informed decision about your care. Once submitted, your form is encrypted and sent directly to our team for review.

Please complete this form before your appointment so we can confirm that Xeomin is appropriate for your medical history and treatment goals.

Why Complete Your Xeomin Consent Online?

Xeomin Consent Austin City Dental

Completing your consent form online gives you time to review treatment details, learn what to expect before and after injections, and note any questions for your provider. It also streamlines your visit so more of your appointment can be spent discussing your goals and receiving care.

Need Help?

If you have questions about Xeomin treatment or trouble submitting your form, please call us at (512) 451-8256. Our team is happy to assist you.