Downloads

REGARDING YOUR OFFICE VISIT:

Completing these forms prior to your visit will save time for you during your consultation.

1. Patient privacy notice

2. Cosmetic consultation demographics form

3. Insurance consultation demographics form

4. Financial policy

5. Medical history questionnaire

 

 

REGARDING YOUR SURGERY:

Below are some forms that are helpful in preparation for surgery, or during the postoperative period.

1. Certain medications need to be stopped prior to surgery because they increase the risk of bleeding-related complications. A further comprehensive blood thinner list has a more extensive listing.  Excessive bleeding can lead to a compromised outcome, may lead to a higher reoperation rate, and in exceedingly rare instances can lead to visual loss.

2. Medical clearance form: a form for your primary medical doctor to review and complete to ensure that your surgery can be done safely, in the context of your overall medical condition.

3. Postoperative instructions

4. Financial policy for insurance-related procedures.

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