Practice Policies

Today's Date: February 27, 2021


Welcome to our office!


General Information:

Because of the high level of services we deliver, we maintain strict policies that must be followed. Much effort, attention to detail and time is needed for us to deliver this type of care. What follows is an outline of these policies and a clarification of what we can and can not do on your behalf. Please review these policies very carefully. We ask that you do not ask us to make exceptions.

At Envision Acne & Skin Care Center we are focusing on providing you with highly effective acne treatment services and products that will deliver results. Unlike traditional dermatology practices that focus only treating the symptoms and not the underlying cause of the acne, we take a more natural approach in order to help clear up the skin.

It is important for you to understand that certain dietary and lifestyle changes are necessary in order to manage your acne under control. We will give you all the guidance you need to clear up your skin.  In return, we expect you to be consistent with your home care routine and do your best to make the lifestyle changes we recommend.


Please note we do not take any form of insurance!


Required Forms:

In order to serve our clients with the utmost attention, we like to take all the preparation necessary for our first meeting together. We require all new in-clinic and virtual clients to complete the following forms within 48 hours of their scheduled appointment. 

If you fail to fill out these forms 48 hours before your first visit, your appointment can not be guaranteed.

 Acne Intake Form
 Practice Policies 
 Acne Review Form
 Teen Client Compliance (for clients under the age of 18 only)



When booking a first-time in-clinic or virtual appointment we require a deposit to hold the appointment time. The amount of the deposit is 50% of the full appointment price. If you cancel your appointment less than 48 hours you will loose the deposit.



Envision Acne & Skin Care Center offer services by appointment only where we reserve time and space especially for you. In order to respect each other's time and efforts the following policies needs to be enforced.

New Client appointment cancellation: We require a minimum of 48 hours of notice for canceling or rescheduling any new client appointments.

Existing Client appointment cancellation: We require a minimum of 24 hours notice for canceling or rescheduling existing client appointment.

No Show: If you fail to show up for your appointment you will be charged 100% of the treatment price.

We ask that you please let us know as soon as possible if you need to cancel or reschedule so we may offer your appointment on someone on the waiting list.

Failure to give appropriate notice of cancellation will result in a charge 100% of the treatment price (minus your deposit for new clients).

You may cancel your appointment by calling the office 732-410- 4452 or email info@envisionacnecenter.com with a subject line Cancellation.


For existing clients we allow 1 appointment to be canceled less than 24 hours at no charge for emergency purposes. After that, we are strictly enforcing our cancellation policy.  We always confirm the appointments at least 2 days before your scheduled appointment time through email and through a phone call. Make sure your voice mail is active and it is not full. It is your responsibility to make sure that you are receiving our confirmation emails. If our confirmation emails are not showing up in your inbox please contact customer service to make sure we have the right information on file.


Late Arrival:

Arriving late can take precious time away from your treatment. We will make every effort to accommodate your full appointment but this is not always possible. As a courtesy to following clients, late arrivals will only receive the remaining available appointment time and will be charged in full. 


Add-On Services:

Add on services require extra time therefore if you booked a treatment with an add-on service such as LED light or back/chest treatments and decide to cancel the add-on service at the time of your appointment you still have to pay the full price of the treatment.


Please review our practice policies fully and sign the necessary documents to confirm your understanding of it.


Envision Acne & Skin Care Center does not take any form of insurance.


By giving your e-signature you agree to our policies and authorize Envision Acne Center to charge your credit card on file for any missed visits, no-shows, late cancellations or late arrivals and authorize the use of before and after pictures to track your progress and for marketing purposes.

Please select who will be participating...
First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Parent or Guardian's Email Address


Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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