2817 New Pinery Road, Suite 201
Portage, WI 53901 view map
P.O. Box 29
Portage, WI 53901
Forms
These forms are available online for your convenience. You may print off the forms, fill them out and bring them with you to your first appointment. If you have any questions, please call our office at 608.742.5229.
General Forms Patient Information* (pdf file)
Please fill out and bring this completed form to our office at your first appointment with Northeast Surgical Group LLC.
Haareway
(A division of Northeast Surgical Group LLC) Cosmetic Procedures
These forms are available online for your convenience. You may print off the forms, fill them out and bring them with you to your first appointment. If you have any questions, please call our office at 608.742.9300.
General Forms Patient Information* (pdf file)
Please fill out and bring this completed form to our office at your first appointment with Haareway, a division of Northeast Surgical Group LLC.
Laser Hair Removal Form* (pdf file)
Please fill out and bring this completed form if you are receiving your first Hair Removal Treatment with Haareway, a division of Northeast Surgical Group LLC.
*Click here for free Acrobat Reader® software
that allows you to view and print Adobe PDF files.
