Patient Forms Plastic Surgery

Patient Resources

Please complete your patient information in the patient portal:
https://pvps.nextechweb.com/NexWebPortal514b/PatientSummary.aspx

These forms are available for your reference.  Our staff looks forward to meeting you and discussing your cosmetic surgery goals.

• Nondiscrimination Notice
  Ensures education of and public awareness of Civil Rights
• Patient Rights
  Patient’s Bill of Rights and Responsibilities
• Price Transparency Act of 2016
• Advance Directives
  Policy Regarding Advance Directives
• Privacy Practices
  Notice of our Privacy Practices
• Medicare Beneficiary Ombudsman (MBO)

*Individual results are not guaranteed and may vary from person to person. Images may contain models.