Please be sure to arrive at least 15 minutes prior to your scheduled appointment time to complete all necessary paperwork.
The following forms are available to you for your convenience:
- Patient Info
- Health History
- Financial Policy
- Cosmetic Patient and Self Pay Financial Policy
- Privacy Notice
- Medical Privacy Notification
- Breast Augmentation Risk Sheet
- Silicone Gel Implant Risk Sheet
- Breast Implant Removal Risk Sheet
- Breast Reduction Risk Sheet
- Browlift Risk Sheet
- Facelift Risk Sheet
- Gynecomastia Risk Sheet
- Mastopexy Risk Sheet
- Otoplasty Risk Sheet
- Rhinoplasty Risk Sheet
- RPSC Patient Responsibilities
- RPSC Patient Rights
For new patients, please complete the above documents and email to our office at firstname.lastname@example.org at least three days before your appointment.
In order to provide our patients with the best medical care and most appropriate treatment plan, we require all of our patients to complete a new health history form on an annual basis.
Please Note: These files are in PDF format.
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