Plastic Surgery Patient Forms Ormond 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.
- Medical History
- Breast History
- Eye History
- Patient Information
- Privacy Practices
- Privacy Practices Receipt
Paper Form Disclaimer – Please be advised that completing preliminary health and insurance questionnaires does not establish a physician-patient relationship with this practice. Dr. Carl Lentz and Dr. Ashley 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.