Contact Information
CB Skin Secrets
Stacey E. Whitehead, M.D.
1010 S Main St., Suite 500
Council Bluffs, IA 51503
402-915-2756
dr.stacey@cbskinsecrets.com
Patient Instructions
Explore treatment, product and membership options at cbskin.repeatmd.com
- Essential Pre and Post Care for Moxi Treatment
- PDO Thread Lift Post Treatment Compression Garments
- Laser and Morpheus8 Pre and Post Treatment Instructions
- Broadband Light Pre and Post Treatment Instructions
- PDO Thread Pre and Post Treatment Instructions
- Injectables: Neurotoxins, Fillers, PRP Pre and Post Treatment Instructions
- Incision, Removal, Repair Pre and Post Treatment Instructions
To print, click ‘Printable PDF Version’, download, then print.
Consent Forms
- HIPAA Data Use
- Informed Consent for BBL Original and HERO
- Informed Consent for Blue Peel Radiance
- Informed Consent for Neurotoxin, Fillers or PRP
- Informed Consent for Biopsy, Removal, Revision, Incision or Excision
- Informed Consent for Photos and Videos
- Informed Consent for Laser and or Morpheus Treatment
- Informed Consent for PDO Threads
- Informed Consent for ThermiSmooth body
- Medical Release from CBSA to CB Skin Secrets
To print, click on link, download, then print.
What forms of payment does CB Skin Secrets accept? What are the payment policies?
- CB Skin Secrets accepts cash, check, Venmo, credit cards and selected payment plans through Cherry, CareCredit or there are other low or no interest financing options as well as my 60:30:10 plan. Purchases are non refundable and a $50 change fee will be applied to each change made to treatment packages after purchase. If you buy a package of 3 treatments or bundle any treatments, you may automatically get a discount. Keep this in mind before making changes as if you buy 3 Moxi face for instance, but only do 1 and want to make a change, your remaining amount is the total package price minus $50 change fee, minus the full price of a single session of Moxi face (you DO NOT have 2/3rds of your paid total remaining to work with).
Does CB Skin Secrets bill insurance?
- CB Skin Secrets does not bill insurance. Most procedures and products that are offered are not covered by your insurance provider. Also, since I work without a staff to manage claims, I am not able to provide coding and insurance submission services. However, you may submit your bill for reimbursement to your insurance provider yourself. Click here for instructions on submitting your bill for insurance reimbursement.
- Click here to download the Medicare Patient Request For Medical Payment form and instructions.

