Practice Policies





Important Updates to Booking Your Appointment

Whether you’re a new or established patient at Center, all patients must book their appointments online, through our website. We are no longer booking appointments over the phone, by email, or through our KLARA text messaging service.

If you are new to our practice and do not wish to receive treatment at your first appointment, you can either book a Virtual Consultation or In-Person Consultation. These are 15 minutes in length and are subject to our Appointment Cancellation Policy.

As a paperless practice, we use KLARA, a HIPAA Compliant Texting Service, to communicate with all of our patients. It is vital to your patient care that you remain opted-in to receive our text notifications. We only use KLARA to notify you about important patient care related information. We never use this to solicit or market to our patients. Please contact us if you have any questions regarding KLARA and our texting protocols.

If you are interested in booking a Virtual Consultation with Nurse Lynn, please call our office at 212-433-3344 to schedule. We require a 30 minute grace period surrounding your confirmed Virtual Appointment time as we are actively seeing patients in the office. 

If you are booked for a Follow Up Appointment, please note that this is also subject to our Cancellation Policy.

If you are a new patient booking a laser treatment (e.g. Fraxel), you must send us images of your face, neck or other treatment areas via KLARA, so we can confirm you are a candidate for the treatment at this time.

You can book your appointment directly online. You will be able to see all up-to-the-minute availability through the next 30 days. You can click here to choose your appointment time.

A Valid Credit Card is required to book your appointment. We do not charge you for Virtual Consultations or for holding your appointment time, but we do charge you $200 in the instance you cancel/move your appointment within one business day, or do not show up to your appointment. If your appointment is booked for longer than 30 minutes, you will be responsible for a $500 Cancellation/No Show fee. Please contact our team with any questions regarding this policy.

If you have any questions outside of appointment availability, please contact us via KLARA by clicking the blue button on the right hand corner of this screen.


Cancellation Policy for Virtual Consultations & In Office Appointments

If you are a patient with a confirmed 15-30 minute appointment, you are subject to our 1 Business Day Move/Cancel/No Show fee. This means that if you move or cancel your appointment within 1 business day of your confirmed time, or you do not show up to your virtual consultation or in-person appointment, you will be charged a $200 fee to the card on file. If you are booked for an appointment longer than 30 minutes, and you breach the cancellation policy, you will be charged $500. Our cancellation policy is strictly enforced. Please contact our team with any questions.

$200 Cancellation Fee for 15-30 Minute Appointments Include:

- Botox®/Dysport®

- Filler Treatment

- Filler Dissolve

- Kybella®

- Sculptra Aesthetic®

- Follow Up

- Cosmetic Consultation

- Dermatology Consultation

- Virtual Consultation/ Virtual Follow Up

- Single EMSculpt® Session

- Single EMSculpt NEO® Session

- Fraxel re:Store®

- Laser Genesis

- Clear+Brilliant®

- Excel-V

$500 Cancellation Fee for 30+ Minute Appointments Include:

- Multiple EMSculpt® Sessions

- Multiple EMSculpt NEO® Sessions

- EMTone®

- Microneedling with PRP Therapy

- Coolsculpting®

- Exilis Ultra®

- SculpSure®

Patient Forms

In response to the Covid-19 Pandemic, our office no longer uses any paper forms for patients. All paperwork is completed on your mobile device, via KLARA, our HIPAA compliant texting service.

When you book either a Virtual Consultation or an In-Office Appointment, you will receive a text message with a link. Click the link and verify your identity, then you will see our messages and appropriate forms ready for your input, signature, and return.

All Patients must sign a “Patient Protocol Agreement” form before any confirmed appointment. This document outlines our safety measures set in place for our staff, providers, and fellow patients. This is a mandatory form that our staff will share with you via KLARA and remind you to sign and return before your appointment.


Cancellation Policy for 1+ HOUR Treatment Appointments

If you are a patient receiving treatment that is booked for longer than 1-hour in length and you cancel your appointment within 48 hours, move your appointment within 48 hours, or do not show up to your appointment, you will forfeit your deposit in full. The deposit is non-transferrable and will not be credited towards future treatments. If your treatment did not require a deposit, you will be charged a $200 cancellation fee.

Examples: All Coolsculpting Treatment Appointments, SculpSure Treatments, Multiple EMSculpt Areas, Multiple EMTone Areas, Custom Facial + Laser Treatments, All Exilis Treatments except for Eyes-only Appointments. If you have any questions, please click the blue button on this page and inquire with our team.


Tardy Policy

Due to COVID-19 Concerns, we ask patients to arrive on time or within a 5 minute window of their scheduled appointment. If you are arriving earlier than 5 minutes before your appointment, you must call the office at 212-433-3344 before entering the practice. If you are running more than 5 minutes late, you must call the office at 212-433-3344 and inform the team.

We are practicing social distancing and limiting the amount of patients in the office at one time. Your arrival time is a part of the protocol agreement you sign before your appointment. We are very grateful for your cooperation.

If you are more than 10 minutes late to your appointment, there is no guarantee that you will receive treatment that day. Out of respect for the other patients and their scheduled time, we may reschedule you for another day to receive any necessary treatment.

Deposits for Coolsculpting, SculpSure, or Lengthy Appointment Times

Any appointment that requires one or more hours on the books will require a 50% deposit in order to be confirmed. If you cancel or move your appointment within 48 hours or fail to show up for your appointment, you forfeit your deposit. The funds will not transfer to future appointments.


Payment Policy

Payment is due in full at the time of treatment. If paying by credit card, the card must be in the patient’s name. If not, then a credit card authorization form must be completed, signed, and returned to the Center staff in order to receive treatment.

Financing Policy

We happily accept Care Credit here at Center.

If you intend to pay for your treatment with Care Credit, the Center staff must be notified before treatment. Please call us with any questions regarding Care Credit financing.  

Please message us or call us if you intend to use Credit Care financing so we can inform you of our terms and conditions.

 Consultation Fee with Dr. Cheryl Karcher

Any new patient seeking a first time consultation with Dr. Karcher will require a $300 fee. This fee will go towards any of the patient's first treatment cost.

 Dermatology Fee with Monique Oliveraz PA-C

Any patient seeing Monique for medical dermatology is subject to a $200 fee

New Patient Policy

All new patients will meet a Physician or Physician Assistant prior to treatment.


Photo Policies.

•All Patients are required to have their photo taken as part of their medical record, per appointment and/or treatment. We use these photos as a tool to help track your journey and maintain clear and accountable progress throughout your individual process, as a patient, at Center.

•Patients must remove makeup using wipes and/or face wash provided.

•Patients must remove accessories: earrings, necklaces, or anything that could distract from your treatment area.

•Patients must pull back their hair, gently, away from the face. We will provide you with hair elastics and headbands.

•Depending on your treatment, we may ask for another set of photos before you leave your appointment.

•All patient photos are a part of your medical record and are kept secure. No patient photos are ever published or shared without direct consent from the patient.





It is important to note that if you take any blood thinners, they may cause an increased risk of bruising. Please avoid these medications if possible. Please discuss with your physician before discontinuing any of these medications. Medications to be aware of and possibly avoid are: Aspirin, Advil, Aleve, Naproxen, Vitamin E, and Turmeric.


We recommend abstaining from alcohol 24 hours before and after an injectable treatment as it can make you more susceptible to bruising, bleeding, and swelling after an injection. We also recommend from abstaining from coffee and exercise for 2 hours prior to an injectable treatment.


Please remember to come well hydrated for your treatment.


Please come 1 hour prior to your scheduled appointment time to allow enough time to sit with numbing cream prior to your procedure. Men should come clean shaven.

Excel V & Laser Genesis

Please avoid sun tanning or using any self-tanning products for 3 weeks prior to your treatment. Please be prepared to wash your face upon arrival prior to your laser treatment. Men should arrive clean shaven.

PRP with Microneedling

Please arrive well hydrated and please be sure to have eaten a meal prior to your arrival.