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Patient Forms

Welcome New Patients!

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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!

Please download and complete the entire patient packet and bring it to your consultation to make the check in process go smoothly.

COSMETIC & RECONSTRUCTIVE PLASTIC SURGERY PATIENT INFORMATION

COVID requirements

Monday-Thursday

8:00am - 5:00pm

Friday

8:00am - 4:00pm

Saturday hours available by appointment

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