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Due to Corona Virus we request that Patients download this form off my web site, print it, fill it out completely and fax, email, or simply bring it in filled out at the time of your actual consultation. This will streamline your time in our practice.

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*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure or skin care treatment. Results may vary depending on the person.

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