New Patient Forms


Patient Forms
Non Surgical Procedures

New Patient Forms

Upon visiting any plastic surgeon’s office, you will be asked to fill out new patient forms detailing your personal health history. It is essential for your doctor to understand your medical history in order to provide exceptional care that meets your needs. Additionally, you may be asked to detail your goals with the plastic surgery procedures that you want.

Here at Perfection Plastic Surgery, we understand that patients may come back for additional procedures or follow-up care. Therefore, we have worked extensively and deliberately to create an intake form that will provide us with a comprehensive health history to last the longevity of your time with our practice.

For your convenience, our patient forms are available for download below. We appreciate the time and thought you contribute in filling out the forms prior to your consultation. This information will allow us to care for you in an informed, thorough, and safe manner. Lastly, but no less important, it will help us learn something about you, your concerns, and your interests. So, we may treat you in a caring, personal way, taking all this information into consideration as we make recommendations and prepare an individualized treatment plan.

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    Surgical Health History


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    Skin Care Health History


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    Patient Informed Consent



  1. Download & Print
  2. Upon completion, please submit the form to us in one the following ways:
Attach and Email

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2355 N. Wyatt Drive, #111 Tucson, AZ

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