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:

HIPAA Patient Privacy Information
Patient HIPAA and Bill of Rights Acknowledgement
Patient Communication Designation Form
Patient Preoperative Instructions
Photography Consent Form
Risks of Smoking Acknowledgement
History Intake Form

If you have any questions or concerns, don’t hesitate to call our Plymouth office at 651-290-7600 or contact us online.

Before and After
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“ She has an excellent way with people and is very knowledgeable. The office is beautiful and the staff is very personable. ”

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