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Patient Forms

Paperwork

Due to HIPPA regulations, patient information and medical history forms must be printed and completed by hand and cannot be transmitted electronically. If you wish to send these forms to our office in advance of your first visit, we strongly recommend a shipping method with tracking, such as Certified Mail, FedEx, UPS, or DHL. All forms should be mailed to our Grapevine office.

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New Patient Forms

New Patient Form

Body Consent Forms

Abdominoplasty

Body Lift Surgery

Brachioplasty

Buttock Lift Surgery

Labiaplasty

Liposuction

Medial Thigh Lift Surgery

Mini Abdominoplasty

Panniculectomy

Consent Forms for Breast Procedures

Augmentation Mammaplasty (Saline)

Augmentation Mammaplasty (Silicone)

Breast Implant Removal

Breast Lift (Mastopexy)

Breast Reconstruction with Tissue Expander

Gynecomastia Surgery

Nipple Reconstruction

Open Capsulectomy with Breast Implant Replacement Using Saline Filled Implants

Open Capsulectomy with Breast Implant Replacement Using Silicone Gel Filled Implants

Open Capsulotomy with Breast Implant Replacement Using Saline Filled Implants

Open Capsulotomy with Breast Implant Replacement Using Silicone Gel Filled Implants

Placement of Breast Implant Following Breast Reconstruction by Tissue Expansion

Reduction Mammaplasty

Consent Forms for Face Procedures

Blepharoplasty

Brow Lift Surgery

Facelift Surgery

Facial Implant Surgery

Nasal Injury Repair Surgery

Otoplasty

Partial Facelift Surgery (Rhytidectomy)

Rhinoplasty

Tip Rhinoplasty

Consent Forms for Skin Procedures

Botox Injection

Chemical Skin Peels and Treatments

Facial Volume Injection Filler

Hyaluronic Acid Filler Injection