New Patient Forms
Save time at your Los Angles breast augmentation consultation by downloading, printing and completing the forms below. Be sure to bring your completed paperwork with you to your office visit.
These forms must be printed and completed by hand and cannot be transmitted electronically. If you wish to send these forms to our office in advance of your first visit, we strongly recommend that you use a shipping method with tracking, such as FedEx, UPS, or DHL. All forms should be mailed to our Marina del Rey office. Dr. Stevens' patients should direct their forms to the attention of Charlie Sheridan and Dr. Stoker's patients should direct their forms to the attention of Christi Carni.
To view these forms you must have Adobe's Acrobat Reader.
Forms for All New Patients
- Patient Information Form
- Medical History
- Patient Acknowledgement of Receipt of Provider's Notice of Privacy Practices
- Cancellation Policy for Office Procedures and/or Surgery
Forms for Breast Surgery Patients
Thank you for taking the time to fill out our new patient forms before coming in for your visit. If you have questions while filling out the forms or we can help in any other way, call us at 800.763.9968 .
For a little more information about what to expect during the consultation, and other steps in the cosmetic surgery process, download a Free Guide to Cosmetic Surgery that can help you feel more prepared when your big day comes.
