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Save time at your visit.

Please click on the links below to access the patient forms you’ll need to get started at your appointment. Simply print and fill out the forms, and then bring them along with your current insurance information.

Our staff and physicians look forward to meeting with you!

PDF File Patient Registration

PDF File History & Health Questionnaire

PDF File Cosmetic Interest Questionnaire

PDF File Notice of Privacy Practices

 

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American Society of Plastic Surgeons
he American Society for Aesthetic Plastic Surgery (ASAPS)
The American Society of Bariatric Plastic Surgeons


1 Park West Blvd., Suite 350 | Akron, OH 44320
330.253.9161


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