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Request an Appointment

Please Note: Any information submitted using this form is transmitted securely and held in the strictest of confidence, protecting your privacy.

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Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact the SA Aesthetics office at (941) 487-7244.

After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.

New Patient Registration Forms

SA Aesthetics in Sarasota, Florida, welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

 Downloadable Forms:

  • New Patient Registration
  • Health History

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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“I have had several sessions of the Potenza microneedling, and my skin has never looked better! There is a constant glow in my face, my pores are smaller, and all of my fine lines have disappeared. It truly has made such a difference!”

~ AP

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Discover what’s new in the fields of aesthetics, as well as Physical Medicine and Rehabilitation.

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At SA Aesthetics in Sarasota, FL, Dr. Susan Aull offers Radiofrequency (RF) Microneedling and other cosmetic enhancement services that will have you looking and feeling great.