Patient Forms
At Harrington Plastic Surgery, we want to make it as easy as possible for you to achieve your dream look. Please read and sign the following forms prior to your procedure:
- History Intake Form
- Viveve® Patient Intake Form
- HIPAA Patient Privacy Information
- Patient HIPAA and Bill of Rights Acknowledgement
- Patient Procedure/Surgery Cancellation & Rescheduling Policy
- Patient Communication Designation Form
- Patient Preoperative Instructions
- Photography Consent Form
- Risks of Smoking Acknowledgement
- HCG Diet Guide
If you have any questions or concerns, don’t hesitate to call our Plymouth office at 651-290-7600 or contact us online.