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.

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"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."

BOTOX Cosmetic – Anti-Aging – Daytona Beach

BOTOX Cosmetic is performed on millions of patients every year and is the most popular cosmetic treatment. This remarkable anti-aging injection can help you preserve your natural, youthful beauty by preventing wrinkles and the formation of other signs of aging.

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Lentz Plastic Surgery

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

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

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