Save Time in Our Office Completing Forms

Thank you for choosing our office. As a convenience to our patients, and to facilitate your arrival at East Lake Plastic Surgery Center, we have made several critical forms available online. The following forms can be downloaded to your computer and printed at home. By completing these forms in advance, you can save significant time at your first appointment. If you need assistance in completing these forms, our staff will be available to answer your questions at the time of your visit.

For your initial visit, please print and complete the following forms and bring them to your first appointment: New Patient Forms (4 pages). Please print the Notice of Privacy Practices to review and keep for your personal records.

If you are a new client requesting a Skin Care Consultation, please complete the following forms and bring them to your first appointment: Skin Care Client Information & Financial Policy. Please print the Notice of Privacy Practices to review and keep for your personal records.

All forms are in Adobe Acrobat format. If you do not have Acrobat Reader (version 5.0 or later), you may download the program free by clicking on the icon “Get Acrobat Reader.”

To view and print forms.
Remember- All forms must be completed and signed before they can be processed. Feel free to fax them to us at 727.773.9429 or just bring them in at the time of your appointment.
 
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