Patient Forms

You may print and fax the following patient forms for Fayetteville Plastic Surgery & Cape Fear Aesthetics to 910-222-3068.

	New Client Intake Form
	Reservation Deposit and Cancellation Policy
	Botox, Dysport and Xeomin Consent Form
	Dermal Fillers Consent Form
	Laser Hair Removal Consent Form
	HCG Weight-loss Intake & Consent Form
	Media Release Consent Form
	Medical Insurance Intake Packet
	Medical Records Release Form

NOTE: PDF files require Adobe Acrobat Reader to view. If you do not have Acrobat Reader, you can download a free copy here.