Our staff looks forward to meeting you and discussing your reconstructive or cosmetic surgery goals. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so that you can accelerate your check-in process. Please download, print and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms.
Patient history form for breast reconstruction procedures
Patient authorization to use or disclose PHI
Forms for medical history information
Formularios para información de historial médico
Patient authorization for release of photography
*Individual results are not guaranteed and may vary from person to person. Images may contain models.