Pre-Procedure Paper Work:
Bring Your Completed Paperwork With You to Your Appointment!
In an effort to save time and optimize relaxation prior to your procedure, we have provided the following links for you to download, print, and complete at home. While some of these forms are solely for your information, there are several that are required to be completed and signed prior to your procedure. Please be sure to click on the following links, save, and print. Then, complete the forms to the best of your ability, and bring them with you the day of your procedure.
Necessary Forms To Bring With You:
History and Physical
Click filename below to access file
OKC_Lipo_Patient_History_and_Physical1.doc
Tobacco Consent
Click filename below to access file
OKC_Lipo_Smoker_Doc1.doc
Medication Instructions
Click filename below to access file
OKC_Lipo_Medications_Instructions1.doc
Post-Procedure Instructions
Click filename below to access file
OKC_Lipo_Post_Procedure_Instructions.doc
Medication Alert
Click filename below to access file
OKC_Lipo_MedicationAlert1.doc
Informed Consent
Click filename below to access file
OKC_Lipo_Consent_Form1.doc
Photo Consent
Click filename below to access file
OKC_Lipo_Photo_Consent.doc1.doc
Pre-Procedure Instructions
Click filename below to access file
OKC_Lipo_Preop_Instructions1.doc
Signature Page
Click filename below to access file
OKC_Lipo_signature_page1.doc
My Procedure
Click filename below to access file
OKC_Lipo_My_Procedure1.doc