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Do you need professional, customized client forms for your office? Have the thorough, informative MedAesthetics Training history and consent forms customized to your office. We will customize these forms for you to include your business name and/or logo, so when you receive them you will be ready to start seeing clients!
Each order includes 5 forms of your choice. After you have placed an order, you will be contacted within 24 hours so we can finalized the specific forms in your order.
Sharonda Walton, ANP-BC is a board certified adult nurse practitioner. She received a Bachelor of Science degree in Biology from Jackson State University in 2001 and a Bachelor’s in Nursing from Baptist College of Health Sciences in 2004. Sharonda graduated from Vanderbilt University School of Nursing with a Master’s in Nursing in 2010. Her medical background includes adult health, occupational health, and emergency medicine. Sharonda received her certification in medical aesthetics in 2017 and has completed advanced trainings in neurotoxins, dermal fillers, and PDO threads . Sharonda’s passion for health and beauty led her to open Royalty Wellness Spa, a full service medical spa in Memphis, TN. With many years in the medical aesthetics industry, she offers training to novice and advanced injectors and continues to advance her training in the field, in order to offer the most innovative services for her clients. Sharonda specializes in enhancing a person’s natural beauty by providing safe and personalized treatments for her clients in an intimate and friendly environment.
Dr. Lauren Hernandez has been in the dental field since 2011 and is a graduate of the University of Louisville School of Dentistry. As the daughter of a retired Army officer, she has spent much of her life moving around both domestically and internationally, contributing to her love for building relationships with people of different cultures and backgrounds. In dental school, she excelled in cosmetic dentistry and esthetics and was the recipient of the American Academy of Dental Esthetics Award. After taking a MedAesthetics course in 2019, she found her niche in facial esthetics and loves that she can offer confidence boosting services like neuromodulators and fillers to her patients. The challenge of treatment planning facial cosmetic procedures tailored to each individual patient is one of the things she enjoys most about her job.
Mayra is a board-certified Nurse Practitioner specializing in aesthetics and plastic surgery. Her interest in Aesthetics began as an OR nurse, which prompted Mayra to complete her advanced nursing education.
Mayra is a proud Latina and Jersey girl. She completed her Masters and Doctorate degrees from Rutgers University, with high honors. Additionally, she is a seasoned licensed cosmetologist with 15+ years of experience in all things beauty, hair and skincare.
Since 2013, she has been an active clinician treating multiple health and skin conditions. Her focus is providing effective cosmetic treatments that enhance and complement her patients’ unique features and goals. Mayra is highly requested for her techniques and knowledge on treatments for skin of all ethnicities.
Mayra is both nationally and internationally trained on advanced injectables, threads, lasers and non-invasive cosmetic procedures. She continues to seek opportunities to advance her skills to provide the best care and education to her patients and students.
Outside of the office, Mayra is a foodie and enjoys traveling with her husband and baby.
Samira Caraballo is a board-certified physician assistant with extensive training in reconstructive and plastic surgery. Samira specializes in nonsurgical cosmetic procedures including Kybella, Botox, hyaluronic acid, and bio stimulatory fillers, as well as a variety of cosmetic lasers.
Samira is passionate about aesthetic medicine and enjoys teaching and collaborating with new and fellow injectors. She believes sharing her knowledge and expertise is the best way to contribute and continue to enhance the exponentially expanding field of aesthetic medicine. A graduate of Florida International University, Samira completed her physician assistant program at Miami Dade Medical College. She is a published author and contributor to the Atlas of Contemporary Aesthetic Breast Surgery an Elsevier publication. Samira enjoys medical mission trips and fitness.
Alyssa Abbey is a Physician Assistant certified by the National Commission on Certification of Physician Assistants (NCCPA). Alyssa is a member of the Society of Dermatology Physician Assistants and the American Academy of Physician Assistants. She has practiced Dermatology and Aesthetics for the last 15 years in Central Oregon. Alyssa specializes in general Dermatology and especially enjoys cosmetic and surgical procedures. Alyssa grew up in Fort Collins, Colorado. She attended the University of Oregon where she received her BA in International Studies. For her medical program, she attended Barry University in Miami, Florida and was awarded a Masters of Clinical Medical Sciences and Physician Assistant degree. In addition to her required clinical rotations, she did an elective rotation in Dermatology and Plastic Surgery. Outside of work, she enjoys nearly every outdoor activity offered in Central Oregon. Beyond staying active outside, she keeps busy chasing after her two active children Ruby and Wilder.
Dr. Alexandra Coleman was born and raised in Alpharetta, Georgia. She graduated in 2012 from Georgia College and State University where she studied Biological Sciences and Chemistry. From Atlanta, Dr. Coleman moved to Horse Country, Lexington, Kentucky, where she completed her Doctor of Dental Medicine Degree at the University of Kentucky. Go Cats! Dr. Coleman is one half of the Tooth Booth duo working alongside Dr. Shana Hughes. Dr. Coleman is certified in administering facial injectables (filled, Botox, etc.) and loves the complement that comes with mixing facial aesthetics with dentistry. In her spare time, Dr. Coleman enjoys traveling (but not by car), complaining about the day’s OrangeTheory workout, and finding new local restaurants around town. Her favorite spot to vacation is Venice, Florida (Italy, too) where she has gone every year since she was born.
Dr. Indeyeva is a fellowship-trained facial plastic surgeon that has devoted her entire training, experience, and practice to the neck and face only. She is passionate about all aspects of facial plastic surgery, with special interest in facelifts, neck lifts, rhinoplasty, blepharoplasty, and cosmetic injectables. Dr. Indeyeva is also a distinguished expert injector. She was chosen to serve as a trainer in advanced injection techniques for Galderma™ (maker of Restylane® and Sculptra®) and devotes time to train colleagues all over the nation on the safe and effective use of injectable products. Her exceptional skill is evident by the natural, beautiful results she provides to her patients. Dr. Indeyeva is deeply committed to the advancement of her field, and believes in the importance of life-long learning. She is highly active in the academic aspect of facial plastic surgery, attending multiple national aesthetic meetings and medical symposiums each year, where she lectures about her innovative techniques, protocols, and research. Dr. Indeyeva is proud to join the Med Aesthetic family and share her expertise to educate aesthetic providers all over the nation. Visit Dr. Indeyeva’s practice located in Austin, Texas.
Dr. Megan Frew is a cosmetic dentist and aesthetic injector based in Cincinnati, Ohio. When it comes to both dentistry and facial aesthetics, Dr. Megan Frew prides herself on working with care and dedication to help her patients look and feel like the best versions of themselves!
Dr. Frew started her facial aesthetic training 4 years ago upon learning that dentists can be aesthetic injectors. She saw facial aesthetics as another avenue where she could tap directly into her artistic side, utilizing her steady hand and eye for balanced and harmonious results. In reality, dentistry caters to some of the best training for facial aesthetics. Dentists have specialized training in head and neck anatomy and are very comfortable with a syringe in hand. Dr. Frew uses a comprehensive and artistic approach in pursuit of beautiful, natural-looking results. Injectables still have a stigma to them and scare people because of the unnatural results we have all seen; but good injectables are those that you don’t necessarily notice.
Just like with her dental training, Dr. Frew is constantly taking high level continuing education courses to improve her knowledge and skills. To name a few, she has trained in-person with Dr. Shana Hughes (x3) and Dr. Ali Coleman from The Tooth Booth (@thetoothbooth), Cristina Herman (@injectorherman) from The Confidence Bar, Jessie Baron (@jessie.baron.rn) from Skin by Lovely, Traci Anderson (@tracianderson_np) from Ruma Aesthetics (@rumaaesthetics), as well as extensive virtual trainings with Dr. Tim Pearce (@drtimpearce) and Dr. Raj Acquilla (@rajacquilla). Feel free to reference them on Instagram to see who she has trained with. You can also see some of Dr. Frew’s work on Instagram – @docfrewaesthetics.
Sudi Gooch is a Board Certified Physician Assistant who specializes in Dermatology. She obtained her Bachelor’s Degree in Biology from CU Denver in Colorado, then pursued her Masters degree in Clinical Medical Science with a Certificate as a Physician Assistant at Barry University in Florida in 2006. She is an LA native and moved back home in 2007. She regularly attends conferences and classes to keep current on constant advancements in cosmetic and general dermatology. Sudi also conducts Speaker programs to introduce and educate medical providers on new and upcoming dermatology medications and procedures.
For the past 12 years, she has been specializing in general dermatology, acne treatments, surgical excisions, sclerotherapy, with special focus on cosmetic facial rejuvenation using medical grade peels, Botox, fillers, PRP, and skin and body enhancements with medical devices. Sudi is committed to enhancing her patients natural and unique appearance and helping them age gracefully through personalized cosmetic skin treatments. She is also an excellent clinical educator helping upcoming aesthetic injections master their craft.
Jessica Manges is a n Advanced Registered Nurse Practitioner who is board certified through the ANCC. She graduated in 2010 from the University of South Florida with her Masters in Nursing and did her BSN at The University of Tampa. As a nurse she worked at Tampa General Hospital and specialized in medical/surgical nursing. Upon graduating with her masters she started in dermatology and then went on to specialize in aesthetic medicine. She has years of experience in injectables and an artistic eye for achieving the most aesthetic results. She has a passion for skin care and loves learning advancements in anti-aging medicine. Jessica keeps up with the latest techniques and products in the industry. Jessica believes in teaching the skills of a thorough consultation to create the most comprehensive treatment plan so that you are able to achieve the best results for your clients. She has treated thousands of people to include Botox, dermal filler, Sculptra, PDO threads, plasma and Kybella. She also is a certified aerial yoga teacher so brings a calming atmosphere to the teaching environment, making you comfortable while learning these new skills.
Shana graduated from the University of Louisville’s School of Dentistry in 2011 before founding The Tooth Booth, a cosmetic dentistry boutique practice in 2012. Since it’s opening, Dr. Hughes has added implant dentistry & facial aesthetics to her practice model.
Dr. Hughes has been a facial aesthetics injector since 2013. Since that first injectables certification course, she has taken countless courses all over the nation with some of the aesthetic industry’s very best. After first introducing neurotoxins and hyaluronic fillers as added services for her patients, she has since added professional skincare, Sculptra, Kybella, and PDO threads. Dr. Hughes was named an Allergan Ambassador for their 2019 Summit.
She prides herself on her commitment to learning & perfecting her skills.
Shana began training others in injectables in 2018. She is an asset to the MedAesthetics team in that she can help give insight to practitioners who are looking to integrate aesthetics into their current practices just as she did in her earlier career. Her personal experience at The Tooth Booth means she can aid injectors in the business and marketing aspects of the injectables industry.
Christopher graduated from the University of Colorado with his undergraduate degree Bachelor of Arts and Sciences 1986, was accepted at University of Colorado dental school and graduated in 1990. He had a hospital position at Swedish Medical center in the head and neck trauma unit and has since been working in private practice since 1991.
He enjoys cosmetic dentistry and the immense happiness a beautiful smile can provide for his patients. Patients frequently comment afterward, “ If I could just get rid of the wrinkles”, this led him to pursue adding the skills of Neuromodulators such as Botox and Dysport and hyaluronic acid based dermal fillers to complement the improved smile. Chris spends a lot of time in CE to keep current with latest trends and enjoys teaching the latest techniques and procedures including Tenting and upright fencing, zone 3 cheek injections, micro-compartmentalization filler technique, hyper-dilute micro-toxing, scar revision with combination of filler and neurotoxin and precision toxing. He has a passion for sharing knowledge and techniques and feels continued learning and improvement is the hallmark of a good clinician. He enjoys reading and researching all areas of fitness, health, and the art of staying healthy and looking younger.
Angela founded Soothe Medical Aesthetics in March of 2018. She is a nationally board-certified and Maine licensed Physician Assistant who has been practicing ENT, Facial Plastics, and Dermatology since January 2010. After graduating from the University of Illinois, Urbana- Champaign in 2000, she spent 10+ years working in both corporate educational management and the medical aesthetics field. While managing nurses and aestheticians, she realized her true gift was in patient care. She returned to school at East Carolina University in 2007 to pursue her Master of Science in Physician Assistant Studies.
After graduating from ECU in 2009, she relocated to the North Shore of Boston to study Facial Plastics and Otolaryngology with seven renowned surgeons. Her mentoring physician, Dr David Chrzanowski is a board certified facial plastic and ENT surgeon. She gained immense knowledge in facial anatomy, ENT and aesthetics in addition to skincare science. She brought on the practice’s first skincare line in order to complement the facial work of Dr Chrzanowski. She then went on to open her own practice in Wake Forest, NC and has since relocated the practice to Maine in order to be closer to family.
Angela’s background in facial plastics, ENT, dermatology and the science of aging combined with her desire to make people feel good about their looks led her to pursue aesthetic medicine. Her favorite tools to improve patient’s natural beauty is through minimally invasive techniques utilizing neuromodulators like Botox, Dysport & Xeomin and dermal fillers to restore collagen and volume loss. She is dedicated to maintaining the highest standards of patient safety and understands the importance of educating her patients on the options that will allow them to be the most naturally vitalized while getting the most for their money. She is also dedicated to her own education to stay current with the latest techniques. Angela works as an Ear, Nose & Throat PA at MaineGeneral in Augusta & Waterville, ME. Visit her for your aesthetic needs at Soothe Medical Aesthetics in Waterville, Maine.
Jennie attended Seton Hill University in Pennsylvania where she obtained her Bachelors of Science degree in Physician Assistant studies. She later completed her Masters of Science in Physician Assistant Studies, Education and Leadership, from A.T. Still University. Jennie began her PA-C career in Urgent Care and internal medicine, later developing a passion for aesthetics. She began working in the field of skin care and aesthetics in 2010. She has become very proficient in facial contouring and enhancement with various injectables such as botulism toxins, dermal fillers and Kybella. She has a vast knowledge and multiple certifications for use of state of the art lasers.
Jennie’s philosophy to skin care and aesthetics is simple. She wants to achieve natural, beautiful results working in all levels of comfort and ability. Jennie works as a private trainer teaching other health care professionals in injectable techniques.
Amber Ploucha graduated from Milligan College with her Bachelors Degree in Nursing in 2007, then went on to earn her Masters Degree in Nursing from East Tennessee State University, Summa Cum Laude in 2010. She is board certified by the American Academy of Nurse Practitioners. Her background working in both Cardiology and Hospitalist Internal Medicine laid a strong foundation in the importance of patient safety and attention to detail. She began her aesthetics career in 2016, then in 2017 co-founded Flawless Medicine in Johnson City, TN. Amber is a Certified Merz Educational Trainer, traveling to train both for the company and privately. She is very proficient at facial balancing using neuromodulators, PDO threads, and the full spectrum of hyaluronic acid, Calcium Hydroxyapatite, PLLA and other collagen biostimulators. Her practice also utilizes state of the art laser technology, Ultherapy, Plasma Lift & Microneedling. Amber’s role as both a business owner and a clinician provides a wealth of knowledge to beginner injectors.
Mr. Garbia graduated from George Mason University in Fairfax, VA. He then attended Jefferson College of Health Sciences in Roanoke, Virginia and graduated with his degree and certification in Physician Assistant studies and has been practicing for over 14 years. Waseem has worked in many different settings including general and plastic surgery, emergency medicine, critical cardiology and aesthetics.
He is a certified master injector and is a national aesthetic medical trainer. Waseem has a vast knowledge in cosmecuticals, injectables and lasers and has a passion for long-term skin enhancement. Having experience with launching several medical spas, Waseem enjoys teaching and sharing his knowledge in technique as well as meeting business objectives.
Dr. Bennett is Board Certified in Family Medicine by the American Board of Family Medicine. She completed an Allopathic Internship & Residency in Family Medicine at the University of Oklahoma-Tulsa in 2000 and entered into a private practice. She received her undergraduate degree from the university of Tulsa in 1978 in Medical Technology. Dr. Bennett practices family practice medicine, operates a concierge injectable business and serves as Medical Director for a Medical Spa in Tulsa, OK.
Dr. Bennett has been an instructor in aesthetic medicine for over 9 years specializing in the areas of Injectables, Sclerotherapy, Microdermabrasion & Chemical Peels. Dr. Bennett has authored numerous teaching materials & presentations in the areas of aesthetic medicine and has attended national and international symposiums on aesthetic medicine.
In 1985 Dr. Ayers graduated from Westmont College in Santa Barbara, CA with his BA in Biology. He then graduated from medical school in 1989 from Des Moines University. From 1989-1992 he completed his Family Medicine Residency at the US Naval Hospital Camp Pendleton. From 1992-1995 he served the US Navy in Sasebo, Japan as a staff family physician and chief of the family advocacy program.
In 1995 Jeff and his family relocated to the Salt Lake City area where he continues to work with Intermountain Healthcare as a staff family physician. In 2005, Dr. Ayers added non-surgical medical aesthetics to his areas of practice. Today, Dr. Ayers practices family medicine as well as serving as medical director for the National Institute of Medical Aesthetics and Elase Medical Spas.
Dr. Ayers also trains for the use of neurotoxins, dermal fillers and laser resurfacing.