Patient Forms

Welcome New Patients!


Get a head start on your paperwork. Please print and fill out each of the forms below and bring them with you to your appointment.

Burgess Plastic Surgery will be following Oregon safety measures to help prevent the spread of COVID-19 virus.

We ask that our patients:

  • Bring a facial mask or cover and wear during your time in the office. We understand that the mask mandate has been lifted in Oregon, however this does not apply to medical offices.
  • You are welcome to bring one guest with you to your appointment.

If you are feeling unwell, have known exposure to COVID19, a persistent cough, or have a fever, we will reschedule your appointment.

We thank you for your cooperation during this time.

We look forward to meeting you!

Get in Touch Today

* All fields must be completed.
Please include non-medical questions and correspondence only.


16865 Boones Ferry Rd, Suite 101
Lake Oswego, OR 97035

Monday-Thursday: 8:00am - 5:00pm
Friday: 8:00am - 4:00pm
Saturday hours available by appointment

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