HOUSTON PLASTIC SURGERY

713-337-5277

929 Gessner, Ste 2200
Houston, TX 77024
HILL COUNTRY PLASTIC SURGERY

830-792-3702

251 Cully Drive, Ste A
Kerrville, TX 78028

Forms

YOUR INITIAL VISIT – NEW PATIENT FORMS

New Patient Forms Plastic Surgery Houston - Dr Layton Houston Plastic SurgeonOn your first visit, you will need to complete a

New Patient Form       MS Word Doc    |     PDF 

Notice of Privacy Practice   |   Financial Policy Statement

Download and complete these forms ahead of time to help make the most out of your consultation time with Dr. Layton

THINGS TO BRING

  • Driver’s License or other major ID
  • Medical insurance card (if available)
  • The forms listed above (You can also fill these out at the office)

CONSULTATION FEE

Consulations are $75.00.

CANCELLATION POLICY

We respect the value of your time and ask the same of you. Therefore, we request the courtesy of a 24 hour advanced notice for rescheduling or canceling your appointment. If this request is not honored, we reserve the right to ask for pre-payment of the consultation fee by credit card prior to rescheduling another appointment for you.

PRIVACY

The privacy of your personal and medical information will be fully maintained by our office. Also, during the course of your surgical procedure and subsequent visits, we will arrange for your entry and exit through a private door to the office.

 

New Patient Forms Plastic Surgery Houston

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