At Fox Valley Plastic Surgery, we want to make sure that we have all the necessary information about you before we begin any treatments.

In order to hasten the patient intake process for patients from Appleton, Green Bay, Oshkosh and the Fox Cities, we encourage you to download and complete the necessary forms in advance of your appointment.  Click on the form, and a pdf version of the paperwork will appear.  If you need Adobe Reader, please click here.  Please print the forms on your printer.

After you complete the forms, you can fax the forms back to us at 414-386-4625, mail them to us, or bring them to your appointment.

All Patient Forms

Check In Documents

BioIdentical Hormone Replacement Therapy (BHRT)

Emsculpt/Emsella Clinicial Studies

Stratpharma Information Sheet

Vein Pre and Post Op Information Sheets

Start Your journey today

Take the first step toward renewed confidence with a consultation at Fox Valley Plastic Surgery. Our team is here to listen, guide, and help you achieve results that feel true to you.

Book a Consulation

Request Your Cosmetic Surgery Consultation

Newsletter Option
Terms

By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold , its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.