Home » Our Practice » Patient Forms

Patient Forms

The staff of Dowden Plastic Surgery strives to make every visit as easy as possible for our patients. Whether you are coming in for an initial consultation or an invasive surgical procedure, we will do our best to make sure that you are not only comfortable and safe, but can easily register and fill out paperwork. While all of our patient forms are readily available in our Lexington, KY office, you can do your part to make your experience with us much easier by filling out the appropriate patient forms before your appointment. All of our forms are available for your convenience on our website at http://dowdenplasticsurgery.com. Each of these forms is available in .pdf format, so your computer should have Adobe Acrobat or a similar program capable of reading these forms. All you need to do is print them at home, fill them out and bring them to your next appointment.

The first form is our most important one. This is the registration form for new patients, and it is essential for anyone receiving treatment from us. It requires you to fill out information such as patient name, address, phone number, emergency contacts and insurance information. Those who hate filling out forms will be happy to note that it is mercifully short. It is only a page long and requires only basic personal information. Slightly longer, yet nearly as important is the Patient Health History form. This is three pages long and requires you to submit your medical history, which is always important to know whenever any medical treatment or surgery is being performed. We also include a notice of our privacy policy. As with all reputable medical practices, we take patient confidentiality very seriously, and this form will disclose how we will use your personal information and medical history to better serve you. It also provides information on how you can obtain copies of your medical history for your own records.

It is recommended that you review and complete these forms before your next appointment with Dowden Plastic Surgery in Lexington, KY or Georgetown, KY to make your experience with us as easy and convenient as possible.

Click on the links below to view our patient forms.

Patient Registration
Patient Health History
Disclosure of Patient Information for the Purpose of Treatment, Payment, and Healthcare Operations
Notice of Privacy Practices