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Patient Resources

Patient Forms

Patient Resources

Our staff looks forward to meeting you and discussing your cosmetic surgery goals. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so that you can accelerate your check-in process. Please download, print and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms.

Curriculum Vitae

Curriculum Vitae

Dr. Nuveen's Curriculum Vitae

Curriculum Vitae

Curriculum Vitae

Dr. Caplin's Curriculum Vitae

Areolar Ischema Article

Areolar Ischema Article

Article by Dr. Erik Nuveen on Diagnosis and Management of Areolar Ischema

Rhinophyma Article

Rhinophyma Article

Article by Dr. Erik Nuveen on Management of Rhinophyma

Consultation Forms

Consultation Forms

Forms for Consultations

Same Day Consultation Forms

Same Day Consultation Forms

Forms for Same Day Consultations

HIPAA

HIPAA

HIPAA Authorization for Disclosure Forms

Privacy Practices

Privacy Practices

Privacy Practices of CSAOK

General Surgery Risks

General Surgery Risks

Information on general surgery risks

Surgery Paperwork Instructions

Surgery Paperwork Instructions

Instructions and information to read before completing surgery paperwork

Consent for Surgery

Consent for Surgery

Consent form for Surgery

Smoking Consent

Smoking Consent

Smoking Consent Forms

Medication Disclosure Form

Medication Disclosure Form

Medication Disclosure Forms

Revision Policy

Revision Policy

CSAOK Revision Policy Forms

Pre-Op Checklist

Pre-Op Checklist

Checklist for Pre-Op

Pre-Op Packet

Pre-Op Packet

Pre-Op forms and information

Payment and Associated Fees

Payment and Associated Fees

Describes Accepted Forms of Payment and Associated Fees

Consent to Photography

Consent to Photography

Consent form for Photography

Fractional FX Instructions

Fractional FX Instructions

Fractional FX Instructions

Photo Submission Instructions

Photo Submission Instructions

Information on how to upload and submit your photos

Implant Removal Consent

Implant Removal Consent

Consent form for Breast Implant Removal patients.

Breast Lift Recommendation

Breast Lift Recommendation

Notice of Recommendation for Breast Lift

Arbitration Agreement

Arbitration Agreement

Arbitration Agreement Forms

Follow Up Instructions

Follow Up Instructions

Follow Up Forms

IV Sedation

IV Sedation

Consent for IV Sedation Forms

CONSENT - Abdominoplasty

CONSENT - Abdominoplasty

Consent Form for Abdominoplasty Patients

CONSENT - Mini-Abdominoplasty

CONSENT - Mini-Abdominoplasty

Mini-Abdominoplasty/ Mini Tummy Tuck Surgery Consent Form

CONSENT - Anesthesia

CONSENT - Anesthesia

Consent Form for Anesthesia patients

CONSENT - Axillaplasty

CONSENT - Axillaplasty

Consent for Axillaplasty

CONSENT - Belotero

CONSENT - Belotero

Consent forms for Belotero

CONSENT - Blepharoplasty

CONSENT - Blepharoplasty

Consent Form for Blepharoplasty Patients

CONSENT - Body Lift

CONSENT - Body Lift

Consent for Body Lift

CONSENT - BOTOX

CONSENT - BOTOX

Consent form for BOTOX patients

CONSENT - Brachioplasty

CONSENT - Brachioplasty

Consent form for Brachioplasty patients

CONSENT - Breast Aug (Saline)

CONSENT - Breast Aug (Saline)

Consent for Breast Augmentation with Saline

CONSENT - Breast Aug(Silicone)

CONSENT - Breast Aug(Silicone)

Consent for Breast Augmentation with Silicone

CONSENT - Silicone Gel

CONSENT - Silicone Gel

Consent forms for Silicone Gel use in Breast Aug.

CONSENT - Breast Reduction

CONSENT - Breast Reduction

Consent form for Breast Reduction patients.

CONSENT - Brow Lift

CONSENT - Brow Lift

Consent form for Brow Lift patients

CONSENT - Buttock Lift

CONSENT - Buttock Lift

Consent form for Buttock Lift patients

CONSENT - Capsulectomy

CONSENT - Capsulectomy

Consent forms for Capsulectomy

CONSENT - Open Capsulectomy

CONSENT - Open Capsulectomy

Consent for Open Capsulectomy

CONSENT - Chemical Peel

CONSENT - Chemical Peel

Consent form for Chemical Peel patients

CONSENT - Dermabrasion

CONSENT - Dermabrasion

Consent for Dermabrasion

CONSENT - Earlobe Repair

CONSENT - Earlobe Repair

Consent Forms for Earlobe Repair

CONSENT - Exilis Elite

CONSENT - Exilis Elite

Consent Forms for Exilis Elite

CONSENT - Facial Implants

CONSENT - Facial Implants

Consent Forms for Facial Implants

CONSENT - Fat Graft/Transfer

CONSENT - Fat Graft/Transfer

Consent for Fat Grafting and Fat Transfer

CONSENT - Gynecosmastia

CONSENT - Gynecosmastia

Gynecosmastia (Male Breast Reduction) Surgery Consent

CONSENT - Juvederm

CONSENT - Juvederm

Consent Form for Juvederm

CONSENT - Laser Hair Removal

CONSENT - Laser Hair Removal

Consent Forms for Laser Hair Removal

CONSENT - Laser Skin Resurface

CONSENT - Laser Skin Resurface

Consent Forms for Laser Skin Resurfacing

CONSENT - Laser Surgery

CONSENT - Laser Surgery

Consent Form for Laser Surgery Patients

CONSENT - Lesion/Mole Removal

CONSENT - Lesion/Mole Removal

Consent for Lesion or Mole Removal

CONSENT - Liposuction

CONSENT - Liposuction

Consent Form for Liposuction Surgery Patients

CONSENT - Mastopexy

CONSENT - Mastopexy

Consent Form for Mastopexy (Breast Lift) Surgery

CONSENT - Micropen

CONSENT - Micropen

Consent for Micropen

CONSENT - Neck Lift

CONSENT - Neck Lift

Consent Forms for Neck Lift Procedure

CONSENT - Otoplasty

CONSENT - Otoplasty

Consent for Otoplasty

CONSENT - PRP

CONSENT - PRP

Consent for PRP

CONSENT - Radiesse

CONSENT - Radiesse

Consent Forms for Radiesse

CONSENT - Rhinoplasty

CONSENT - Rhinoplasty

Rhinoplasty Consent Forms

CONSENT - Rhytidectomy

CONSENT - Rhytidectomy

Rhytidectomy (Face Lift) Surgery Consent Form

CONSENT - Scar Revision

CONSENT - Scar Revision

Scar revision consent forms

CONSENT - Sculptra

CONSENT - Sculptra

Consent for Sculptra

CONSENT - Septoplasty

CONSENT - Septoplasty

Consent for Septoplasty

CONSENT - Silikon 1000

CONSENT - Silikon 1000

Consent forms for Silikon 1000 injections

CONSENT - Swift Lift

CONSENT - Swift Lift

Consent Forms for Swift Lift

CONSENT - Thighplasty

CONSENT - Thighplasty

Consent Forms for Thighplasty (Thigh Lift) Procedure

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