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© 2020 Copyright Lesavoy Plastic Surgery. | Tel: 310-248-5451 | Designed by Runyon Digital.

Find our patient forms and information below for your convenience. If you would like to fax your forms to the office before your appointment, please send to 310-248-5451.

New Patient Information Form

Medical History Form

HIPAA Policy

HIPAA Patient Release Signature Form

Consent for Medical Photography Form