Patient Forms – Western Reserve Plastic Surgery

You can accelerate your check in process by downloading, printing and completing the forms below before you have your first visit to our Cleveland plastic surgery office.

These 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 that you use a shipping method with tracking, such as FedEx, UPS, or DHL. All forms should be mailed to us.

• Patient Registration (click to download PDF)
• Patient Medical History (click to download PDF)
• HIPPA Consent Form (click to download PDF)