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Patient Forms

For your convenience you can use the link below to download and print the New Patient & HIPPA forms we’ll ask you to fill out at your visit. Please complete and bring to your consultation. If you prefer to have forms mailed or faxed, please let us know.

Patient Registration FormsCLICK HERE

If for any reason your download does not execute, use your browser’s back button to return to this page and Download Adobe Acrobat Reader®.

If you would like to personally email us a concern or question, please do so at: Jill@HassPlasticSurgery.com or call us directly at 561-624-7777.

Remember – our cosmetic consultations are always complimentary. For those wanting a second opinion on any prior cosmetic procedure not performed in our office – charges will be applied.

Our office is open 5 days a week, Monday – Friday as follows:

Monday 9 am – 4 pm

Tuesday 9 am – 7 pm (for limited services only)

Wednesday 10 am – 5:30 pm

Thursday 9 am – 5 pm

Friday 9 am – 5 pm