Patient Forms

Click on a Title to see the Form as a PDF File.

The following are informed-consent document(s) that have been prepared to help inform you about the risks, as well as alternative treatment(s) associated with your chosen procedure(s).

1.   Abdominoplasty Surgery

 

2.   Augmentation Mammaplasty Revision with Larger Implant than Recommended

 

3.   Augmentation Mammaplasty with Larger Implant than Recommended

 

4.   Augmentation Mammaplasty with Saline-Filled Implants

 

5.   Augmentation Mammaplasty with Silicone Gel-Filled Implants

 

6.   Blehparoplasty Surgery

 

7.   Body Lift Surgery

 

8.   Botox® Injection

 

9.   Brachioplasty

 

10.   Breast Implant Removal

 

11.   Breast Lift (Mastopexy)

 

12.   Breast Reconstruction with Latissimus Muscle Flap

 

13.   Breast Reconstruction with Tissue Expander

 

14.   Breast Reconstruction with Tram Abdominal Muscle Flap

 

15.   Brow Lift Surgery

 

16.   Buttock Lift Surgery

 

17.   Chemical Skin Peels and Treatments

 

18.   Facelift Surgery (Rhytidectomy)

 

19.   Ganglion Cyst Surgery

 

20.   Gynecomastia Surgery

 

21.   Hylaform® Injection

 

22.   Laser Resurfacing Procedures of Skin

 

23.   Liposuction (Suction-Assisted Lipectomy Surgery) (Ultrasound-Assisted Lipectomy Surgery)

 

24.   Medial Thigh Lift Surgery

 

25.   Mini-Abdominoplasty Surgery

 

26.   Nasal Injury Repair Surgery

 

27.   Nipple Reconstruction Surgery

 

28.   Open Capsulectomy with Breast Implant Replacement Using Silicone Gel-Filled Implants

 

29.   Open Capsulotomy with Breast Implant Replacement Using Saline-Filled Implants

 

30.   Otoplasty Surgery

 

31.   Placement of Permanent Breast Implant Following Breast Reconstruction by Tissue Expansion

 

32.   Reduction Mammaplasty

 

33.   Restylane® Injection

 

34.   Rhinoplasty Surgery

 

35.   Scar Revision Surgery

 

36.   Septoplasty Surgery

 

37.   Skin Cancer Surgery

 

38.   Skin Graft Surgery

 

39.   Skin Lesion / Skin Tumor Removal

 

40.   Tip Rhinoplasty Surgery

 

The following are informed-consent document(s) that have been prepared to help inform you about the risks, as well as alternative treatment(s) associated with your chosen procedure(s).