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ReGenesis Plastic Surgery & Skin Care Center is pleased to offer Care Credit. Learn more by clicking on the logo below. If approved, bring your care credit account number into our offices for your appointment or consultation.


Patient Forms

Click on the forms below to download each form. The first two forms are the basic patient forms that we’ll need completed for your appointment. Should you have a specific concern you are being consulted for, please print and fill out the appropriate CHQ (Confidential Health Questionnaire) that is listed below. All patients must fill out a Patient Information form.

  1. Patient Information
  2. Confidential Health Questionnaire (CHQ Basic)
  3. CHQ Body Contouring (Includes Liposuction, Tummy Tuck, Arm Lift, Thigh Lift and Body Lift)
  4. CHQ Breast Augmentation
  5. CHQ Breast Reconstruction
  6. CHQ Breast Reduction
  7. CHQ Pediatrics
  8. CHQ Skin Care
  9. Photo Release
  10. ReGenesis Privacy Policy

Health Talk Radio Program

Listen to our Health Talk radio program online. Our doctors cover important topics like breast augmentation, tummy tucks and laser services.



Watch videos from our practice online. Click here to watch.

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