New Patient Forms

We strive to make your first visit to our office educational, informative and pleasant. In a cosmetic consult, patients will have the opportunity to discuss their concerns and explore realistic solutions with our experienced cosmetic surgeons and compassionate staff. You will also be given a quote regarding the approximate cost of the procedure you elect to undergo.

For your convenience, we have made all of our new patient forms web-accessible. Prior to your scheduled appointment, please take a moment to print off these forms, complete and bring to your scheduled appointment. To expedite this process, you may also fax these documents back to our office, at 423-648-4014.

New Patient Packet

Patient History Form

Demographic Form

Payment Policy Form

Cancellation Policy

HIPPA Form

Photo Consent Form

Advanced Directive Form

Venous Questionnaire (For Vein Patients Only)

Directions to our office

 

Please call us at 423-648-4011 if you have any questions.