Plastic Surgery Patient Forms Scottsdale
Download Adobe Acrobat Reader to view, download, complete, and submit each form.
Please complete your NEW PATIENT FORMS and submit them to our office PRIOR to your visit if possible.
How to do this:
Download required forms, fill them it on the computer OR print it out and fill in by hand. You can then:
1. Attach them to an email and send to deborahwhiteplasticsurgery@gmail.com
2. Scan and fax them to 480-614-8589
3. Send them by regular mail to:
Attn: Patient Coordinator
Deborah J White, MD, PC
8896 E Becker Lane #104
Scottsdale, AZ 85260
Thank you in advance, and we look forward to meeting you!
New Patient Information Forms
- Patient Information Form
- Health Information Form
- Breast History Form
(fill out if wanting ANY TYPE of breast surgery) - Breast Reduction Questionnaire
(fill out if wanting a Breast Reduction) - Patient Decision Aid for Breast Augmentation
Post-Operative Instructions
- Abdominoplasty Post-Op Instructions
- Belt Lipectomy Post-Op Instructions
- Helpful Hints and Supplies for Lower Body Lift/Belt Lipectomy
- Blepharoplasty Post-Op Instructions
- Brachioplasty Post-Op Instructions
- Breast Augmentation Post-Op Instructions
- Breast Implants and Your Health
- Displacement Exercises
- Breast Post-Op Instructions
- Patient Instructions for Drain Care and Drain Record
- Cheek/Chin Implant Post-Op Instructions
- Browlift Patient Instructions
- Facial Surgery Helpful Hints Supplies
- Facelift Instructions
- Face Post-Op Instructions
- Fat Transfer Post-Op Instructions
- Fat Transfer to The Body Post-Op Instructions
- Emotional & Physical Reactions
- Helpful Hints for Nausea
- Pre-op Piper Instructions
- Pre-op Instructions In-Office
- Pre-op Medications to Avoid
- Patient Pre-op Lab Checklist
- Lipoplasty Post-Op Instructions
- Patient Liposuction Checklist
- Helpful Hints for Lipo
- What to expect after your liposuction
- Nasal Surgery Post-Op Instructions
- Otoplasty Post-Op Instructions
- Post-Op Instructions for Minor Surgery
- Patient Medial Thigh Lift/Extended Medial Thigh Lift Checklist
- Helpful Hints and Supplies for Medial Thigh Lift/Extended Medial Thigh Lift