Inland Cosmetic Surgery Patient Forms

Here at Inland Cosmetic Surgery, our days are pretty busy taking care of patients—and we know your time is valuable as well! To help streamline your appointment so you can spend more time with your surgeon, we provide downloadable patient forms.

• Click to download and complete your Inland Cosmetic Patient Information »
• Click to download and complete the Inland Cosmetic Patient Health Questionnaire »

Please fill out and print these forms and bring them with you to your first appointment or email them to your patient care coordinator.

* These forms require Acrobat Reader or its browser plug in, which most current web browsers have pre-installed. If your browser does not have Acrobat Reader, you can get it for free; visit adobe.com to download the software.