Plastic Surgery Patient Forms Daytona Beach

The forms below will help save you time during your visit with us. Please print these out, complete them, and bring the forms with you to your consultation.

Paper Form Disclaimer – Please be advised that completing preliminary health and insurance questionnaires does not establish a physician-patient relationship with this practice. Dr. Lentz will review your health history and conduct an initial evaluation to determine whether you are a suitable candidate and whether the practice will accept you as a patient.

Please complete the form below to contact Dr. Lentz and his staff.

I agree to the Terms of Use

"Dr. Lentz is truly one of the country's top surgeons. I have known him for nearly seven years and am continually amazed by his results. In addition to being one of the most compassionate physicians with an incredible bedside manner, his natural results are simply beautiful."

Endermologie Treatment – Daytona Beach Procedures

Are you concerned about the appearance of cellulite? Cellulite can be an eyesore that leaves you self-conscious about wearing revealing clothing, and there is very little that dieting or exercise can do about it. With an Endermologie treatment, cellulite can

Google Map

Lentz Plastic Surgery

1040 West Int'l Speedway Blvd.,
Daytona Beach, FL 32114

Phone: 386-252-8051
Toll-Free: 800-453-9431

Don't miss out on Specials. Make sure to sign up for monthly emails..
* Required field