Patient Forms

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

NOTICE OF PRIVACY PRACTICES

RECEIPT OF NOTICE OF PRIVACY PRACTICES FORM

INTAKE REGISTRATION FORMS

MEDICATIONS TO BE DISCONTINUED 2 WEEKS PRIOR TO SURGERY

LIPOSUCTION INFORMED CONSENT

INSTALIFT POST PROCEDURE RECOMMENDATIONS

TELEMEDICINE/VIDEO CONSENT FORM

PATIENT BILLING AND FINANCIAL AGREEMENT