Patient forms
Paperwork, finished
before you arrive.
Completing forms at home means your consultation time is spent talking with the surgeon, not filling in boxes.
Download
01 · Save the forms you need
Print and complete
02 · Fill in by hand, in ink
Bring to your visit
03 · Or send ahead securely
Available forms
Everything you will
be asked to sign.
New patients need the first five. Pre-operative instructions are issued once a procedure is scheduled.
- Download
New patient registration
Contact details, emergency contact, and how you heard about the practice.
PDF · 2 pages
- Download
Medical history questionnaire
Conditions, prior surgeries, medications, supplements, and allergies. Please be thorough; it directly affects surgical safety.
PDF · 4 pages
- Download
Photography consent
Permission for clinical photographs used in planning and, optionally, for anonymized educational use.
PDF · 1 page
- Download
Notice of privacy practices
How your health information is used and protected. Acknowledgment of receipt.
PDF · 3 pages
- Download
Financial policy
Consultation fees, surgical deposits, cancellation terms, and accepted payment methods.
PDF · 1 page
- Download
Pre-operative instructions
Provided once surgery is scheduled: medications to pause, nicotine cessation, fasting, and what to bring.
PDF · 2 pages
Form names and descriptions are sample content. No PDFs are attached in this preview; download buttons are visual placeholders.
Need help with a form?
Call the office and a coordinator will walk you through it, or arrive fifteen minutes early and complete it with us.
Next step
Forms done?
Book the visit.
Request a private consultation and bring your completed paperwork along.
