Patient Forms

ASPS Forms
  • Abdominoplasty Informed Consent
  • Breast Augmentation Informed Consent
  • Breast Augmentation w/ Larger Implant than Recommended
  • Blepharoplasty Informed Consent
  • Body Lift Informed Consent
  • Brachioplasty Informed Consent
  • Breast Implant Removal Informed Consent
  • Breast Reduction Imformed Consent
  • Brow Lift Informed Consent
  • Buttock Lift Informed Consent
  • Face Lift Informed Consent
  • Gynecomastia Informed Consent
  • Mastopexy Informed Consent
  • Medial Thigh Lift Informed Consent
  • Mini Abdominoplasty Informed Consent
  • Nipple Reconstruction Informed Consent
  • Open Capsulectomy with Saline
  • Open Capsulectomy with Silicone
  • Otoplasty Informed Consent
  • Placement of Permanent Breast Implant Following Breast Reconstruction by Tissue Expansion
  • Breast Reconstruction with Tissue Expander Informed Consent
  • Suction Assisted Lipectomy Informed Consent
  • Scar Revision Informed Consent
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      1200 Binz St., Ste 1190 (Directions)
    Houston, TX 77004
    Phone: (713) 522-4411
    Fax: (713) 522-5588
    Copyright © 2008 Mary N. Shinn, M.D., P.A.