Patient Forms
We want to ensure a comfortable, discreet experience for every woman who chooses Harrington + Associates Plastic Surgery for her cosmetic gynecology procedure. You can get started right away by downloading these forms, then filling them out and bringing them along to your consultation:
- History Intake Form
- Patient Communication Designation Form
- Viveve® Patient Intake Form
- HIPAA Patient Privacy Information
- Patient HIPAA and Bill of Rights Acknowledgement
- Photography Consent Form
- Risks of Smoking Acknowledgement
If you have any questions or concerns, don’t hesitate to call our Plymouth office at 651-290-7600 or contact us online.