We are always looking for every way possible to make your life easier, and if you live in greater Lexington, Georgetown or any of the surrounding communities of Kentucky, Dr. Jared Nimtz of Commonwealth Plastic Surgery will not only help you look and feel your very best with absolutely amazing results, but he will make your experience more convenient as well. Our selection of handy forms is provided below to make your life as convenient as possible.
What are Patient Forms?
One of the main reasons you can count on Commonwealth Plastic Surgery is because Dr. Nimtz has an outstanding office staff, including Renee our office manager, who will do everything they can to help you manage every aspect of your treatment, no matter whether you are coming in for an initial consultation or a more involved surgical procedure.
What Forms are Available?
Your Patient Information Form, the very first form below, is one we would like to particularly draw your attention to, as this is the most important form. This is the registration form for new patients, and it is vitally important for anyone receiving treatment from Commonwealth Plastic Surgery. Print the form out and take the time in the comfort of your own home to fill out such important information as your name, address, phone number, emergency contacts and insurance information. Relatively short, this form requires only basic personal information. Your Medical History Form is also important, and it requires you to provide us with your basic medical history, which is vitally important to know whenever any medical treatment or surgery is to be performed by Dr. Nimtz. You can also download a copy of our HIPAA Consent Form, and as with all reputable and premium level medical practices, we take your patient confidentiality extremely seriously. This form will disclose how we will use your personal information and medical history to better serve you, and it also provides information on how you can obtain copies of your medical history for your own records. We also provide our Procedure Interest Form and our Financial Policy forms for you to download.
Click on the links below to view our patient forms.
- Patient Information Form
- Medical History Form
- HIPAA Consent Form
- Procedure Interest Form
- Financial Policy
Residents of greater Lexington and Georgetown as well as the surrounding communities of Kentucky can count on Dr. Jared Nimtz of Commonwealth Plastic Surgery for excellence in care. Contact us today to set up your consultation.