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Physician-Guided Regenerative Care. Schedule Your Consultation.

Client Resources

Find forms, educational resources, and tools designed to help you prepare for your visit and learn more about your skin and available services.

  1. Intake Form

    New patients visiting us for the first time can fill out the form below.

    PDF, fillable, 3 pages, 989 KB

    Download the PDF: Intake Form
  2. Fitzpatrick Quiz

    Use the Fitzpatrick Quiz to learn more about how your skin typically responds to sun exposure.

    PDF, fillable, 2 pages, 121 KB

    Download the PDF: Fitzpatrick Quiz
  3. Review and complete the consent form for laser hair removal and reduction procedures.

    PDF, fillable, 2 pages, 109 KB

    Download the PDF: Consent Form

Before you come in

Choosing a Physician-Guided Medical Spa

Non-Surgical and Minimally Invasive Options

Medical spas offer a range of non-surgical and minimally invasive aesthetic options, including injectables, body contouring, skin resurfacing, and other procedures. At Lasting Impression, recommendations are based on what you’d like to address, your preferences, and whether a particular approach makes sense for you.

A Warm and Welcoming Setting

We want your experience to feel comfortable from the moment you arrive. Our setting combines the personalized feel of an aesthetic practice with the guidance and oversight of a physician-led clinic.

Care With Medical Oversight

A medical spa combines aesthetic services with clinical standards and professional oversight. At Lasting Impression, we take a thoughtful approach to evaluation, preparation, and follow-up so you understand what each procedure involves before moving forward.

Recommendations Built Around You

Your goals, health history, features, and preferences all play a role in deciding what may be appropriate. We don’t rely on preset packages. Instead, we take time to understand what you’re looking for and explain the options that may fit.

Physician-Guided Care

Lasting Impression is led by Roel Galope, D.O., medical director and owner. Our approach combines medical judgment, clear patient education, and individualized recommendations so you can make informed decisions about your aesthetic and wellness care.

Time to Ask Questions

We believe you should understand your options before making a decision. Your visit gives you time to ask questions, discuss what matters to you, and learn what each approach involves without relying on a generic recommendation.

Take the first step

Schedule Your Consultation

Schedule a consultation to discuss your concerns, your health history, and which options may be appropriate.

The clinic's lounge seating in front of the skincare display wall

Adding Life to Your Years

Visit us in Fair Lawn, NJ

At Lasting Impression Medical, we take time to understand what brings you in and what you’d like to address.

Every visit starts with a consultation. No referral is needed.

Hours

Monday12:30 PM to 7:00 PMTuesday to Friday12:30 PM to 6:00 PMSaturday and SundayClosed