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Harold E. Beam, M.D.
Harold E. Beam, M.D.
Harold E. Beam, M.D.
Harold E. Beam, M.D.

Starting to
see Lines &
wrinkles ?

Its time for
some
Fillers &
Injectables.

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Harold E. Beam, M.D.
  • Home
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  • Plastic Surgery
    • Breast Surgery
      • Breast Augmentation
      • Breast Implants
      • Breast Lift
      • Breast Reconstruction
      • Breast Reduction
    • Body Sculpting
      • Arm Lift
      • Fat Transfer
      • Labiaplasty
      • Liposuction
      • Thigh Lift
      • Tummy Tuck
    • Facial Surgery
      • Blepharoplasty
      • Brow Lift
      • Chin Implants
      • Facelift
      • Lip Augmentation
      • Neck Lift
      • Otoplasty
      • Rhinoplasty
    • Plastic Surgery For Men
      • Transgender Top Surgery
      • Gynecomastia
  • Non-Surgical
    • miraDry®
    • Injectables
      • Botox®
      • Juvederm Vobella®
      • Juvederm Vollure®
      • Juvederm Voluma®
      • Juvederm Volux®
      • Juvederm Ultra XC® and Juvederm Ultra Plus XC®
      • Kybella™
    • Laser Treatments
      • Laser Skin Rejuvenation
    • CoolSculpting®
    • Pro-Nox™
    • Microneedling Treatments
  • Med Spa
    • Skin Care Treatments
      • Diamond Glow Dermalinfusion
      • SkinMedica® Chemical Peels
    • Skin Care Products
    • Latisse ®
  • Before and After
    • Breast Enhancement
      • Breast Augmentation
      • Breast Lift
      • Breast Reconstruction
      • Breast Reduction
      • Inverted Nipples
    • Body Sculpting
      • Abdominoplasty
      • Arm Lift
      • Tummy Tuck
      • Fat Transfer
      • Thigh Lift
      • Labiaplasty
      • Liposuction
    • Facial Surgery
      • Earlobe Repair
      • Eyelid Surgery
      • Facelift
      • Lip Augmentation
      • Liquid Facelift
      • Otoplasty
      • Rhinoplasty
    • Plastic Surgery For Men
      • Gynecomastia
    • Laser Treatments
      • Laser-Ablative
    • CoolSculpting®
    • Videos
  • Financing
  • Testimonials
  • About Us
    • About Dr. Beam
    • Choosing a Surgeon
    • Meet Our Staff
    • Patient Forms
    • FAQ
    • Specials
    • Blog
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860-266-6502
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> About Us > Patient Forms

Patient Forms

Download the forms by clicking on these links:

  • Insurance Form
  • HIPAA Acknowledgement
  • HIPPA Restrictions
  • Medical History

 

Harold E. Beam M.D. offers plastic and cosmetic surgery to patients in Glastonbury, New Britain, Hartford, New Haven and surrounding areas of Connecticut. Contact Dr. Beam today to schedule your consultation!

BREAST
  • Augmentation
  • Implants
  • Lift
  • Reconstruction
  • Reduction
BODY
  • Arm Lift
  • Fat Transfer
  • Labiaplasty
  • Liposuction
  • CoolSculpting
  • Thigh Lift
  • Tummy Tuck
FACE
  • Blepharoplasty
  • Brow Lift
  • Cheek Implants
  • Chin Implants
  • Facelift
  • Lip Augmentation
  • Neck Lift
  • Otoplasty
  • Rhinoplasty
FILLERS & NEUROTOXINS
  • Botox®
  • Jeuveau™
  • Kybella®
  • Juvederm®
  • Radiesse®
  • Volbella®
  • Vollure™
  • Voluma™

FOLLOW
US

@HaroldBeamMD
@HaroldBeamMD
Harold E. Beam, M.D.

Come Visit Us

COSMETIC AND PLASTIC SURGERY IN GLASTONBURY, CT Location Map

ADDRESS:

300 Hebron Avenue, Suite 101
Glastonbury, CT 06033
860-266-6502
  • Home
  • Plastic Surgery
  • Non-Surgical
  • Med Spa
  • Before & After
  • Financing
  • Testimonials
  • About Us
  • Contact
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  • About Us
    • About Dr. Beam, Glastonbury Plastic Surgeon
    • About Our Practice
    • Blog
    • Choosing a Surgeon
    • FAQ
    • In The News
    • Meet Our Staff
    • Patient Forms
    • Specials
  • ADA / ADAAA Policy
  • Age is just a number – homepage section
  • Before & After – homepage section
  • Blepharoplasty
  • Breast Augmentation in Connecticut, CT
  • Contact
  • Earlobe Repair Before and After Pictures Glastonbury, CT
  • Financing
  • Harold E. Beam, MD Plastic Surgery – homepage
  • Home
  • MedSpa in Glastonbury, CT
    • Facial Enhancements in Glastonbury, CT
      • Eyebrow Shaping in Glastonbury, CT
      • Eyelash & Eyebrow Tinting in Glastonbury, CT
      • Sunless Airbrush Tanning in Glastonbury, CT
    • Latisse in Glastonbury, CT
    • Microneedling Treatments in Glastonbury, CT
    • Skin Care Treatments in Glastonbury, CT
      • Advanced Toning Face & Decollete Massage in Glastonbury, CT
      • Diamond Glow Dermalinfusion in Glastonbury, CT
      • Facials in Glastonbury, CT
      • Peel Alternatives in Glastonbury, CT
      • SkinMedica® Chemical Peels in Glastonbury, CT
    • Waxing in Glastonbury, CT
      • Brazilian Wax in Glastonbury, CT
      • Full Body Hair Removal in Glastonbury, CT
      • Skin Care Products in Glastonbury, CT
  • Meet the Doctor – homepage section
  • Men’s Services – homepage section
  • Newest treatments – homepage section
  • Non-Surgical in Glastonbury, CT
    • CoolSculpting® in Glastonbury, CT
    • Dermal Fillers & Injectables in Glastonbury, CT
      • Botox in Glastonbury, CT
      • Juvederm in Glastonbury, CT
      • Kybella™ in Glastonbury, CT
      • Volbella® in Glastonbury, CT
      • Vollure™ in Glastonbury, CT
      • Voluma™ in Glastonbury, CT
    • Laser Skin Rejuvenation in Glastonbury, CT
    • Laser Treatments in Glastonbury, CT
    • miraDry® in Glastonbury, CT
    • PRO-NOX™ in Glastonbury, CT
  • Plastic Surgery Before and After Pictures in Glastonbury, CT
    • Body Sculpting Before and After Pictures Glastonbury, CT
      • Abdominoplasty Before and After Pictures Glastonbury, CT
      • Abdominoplasty Before and After Pictures in Glastonbury, CT
      • Arm Lift Before and After Pictures Glastonbury, CT
      • Fat Transfer Before and After Pictures Glastonbury, CT
      • Labiaplasty Before and After Pictures Glastonbury, CT
      • Liposuction Before and After Pictures Glastonbury, CT
      • Otoplasty Before and After Pictures Glastonbury, CT
      • Thigh Lift Before and After Pictures Glastonbury, CT
      • Tummy Tuck Before and After Pictures Glastonbury, CT
    • Breast Surgery Before and After Pictures Glastonbury, CT
      • Breast Augmentation Before and After Pictures Glastonbury, CT
      • Breast Implants in Glastonbury, CT
      • Breast Lift Before and After Pictures Glastonbury, CT
      • Breast Reconstruction Before and After Pictures Glastonbury, CT
      • Breast Reduction Before and After Pictures Glastonbury, CT
      • Inverted Nipples Before and After Pictures Glastonbury, CT
    • CoolSculpting® Before and After Pictures Glastonbury, CT
    • Facial Surgery Before and After Pictures in Glastonbury, CT
      • Cheek Implants Before and After Pictures in Glastonbury, CT
      • Cheek Implants Before and After Pictures in Glastonbury, CT
      • Chin Implants Before and After Pictures in Glastonbury, CT
      • Eyelid Surgery Before and After Pictures Glastonbury, CT
      • Facelift Before and After Pictures Glastonbury, CT
      • Lip Augmentation Before and After Pictures Glastonbury, CT
      • Liquid Facelift Before and After Pictures Glastonbury, CT
      • Neck Lift Before and After Pictures in Glastonbury, CT
      • Rhinoplasty Before and After Pictures Glastonbury, CT
    • Laser Treatments Before and After Pictures Glastonbury, CT
    • Laser-Ablative Before and After Pictures Glastonbury, CT
    • Plastic Surgery For Men Before and After Pictures in Glastonbury, CT
      • Gynecomastia Before and After Pictures Glastonbury, CT
      • Male Breast Implants Before and After Pictures in Glastonbury, CT
    • Videos
  • Plastic Surgery in Glastonbury, CT
    • Body Sculpting in Glastonbury, CT
      • Arm Lift in Glastonbury, CT
      • Fat Transfer in Glastonbury, CT
      • Labiaplasty in Glastonbury, CT
      • Liposuction in Glastonbury, CT
      • Otoplasty in Glastonbury, CT
      • Thigh Lift in Glastonbury, CT
      • Tummy Tuck in Glastonbury, CT
    • Breast Surgery in Glastonbury, CT
      • Breast Augmentation in Glastonbury, CT
      • Breast Lift in Glastonbury, CT
      • Breast Reconstruction in Glastonbury, CT
      • Breast Reduction in Glastonbury, CT
    • Facial Surgery in Glastonbury, CT
      • Blepharoplasty (Eyelid Surgery) in Glastonbury, CT
      • Brow Lift in Glastonbury, CT
      • Chin Implant in Glastonbury, CT
      • Facelift in Glastonbury, CT
      • Lip Augmentation in Glastonbury, CT
      • Neck Lift in Glastonbury, CT
      • Rhinoplasty in Glastonbury, CT
    • Plastic Surgery For Men in Glastonbury, CT
      • Gynecomastia Surgery in Glastonbury, CT
      • Transgender Top Surgery in Glastonbury, CT
  • Plastic Surgery Procedure
  • Procedures – homepage section
  • Quote – homepage section
  • Resources links – homepage section
  • RSVP 30th Anniversary Open House
  • Specials
  • Testimonials
  • Thank you for contacting the office of Harold E. Beam M.D.
  • Virtual Consultation Form
  • Volux™ in Glastonbury, CT
  • Plastic Surgery
    • Breast Surgery
      • Breast Augmentation
      • Breast Implants
      • Breast Lift
      • Breast Reconstruction
      • Breast Reduction
    • Body Sculpting
      • Arm Lift
      • Fat Transfer
      • Labiaplasty
      • Liposuction
      • Thigh Lift
      • Tummy Tuck
    • Facial Surgery
      • Blepharoplasty
      • Brow Lift
      • Chin Implants
      • Facelift
      • Lip Augmentation
      • Neck Lift
      • Otoplasty
      • Rhinoplasty
    • Plastic Surgery For Men
      • Transgender Top Surgery
      • Gynecomastia
  • Non-Surgical
    • miraDry®
    • Injectables
      • Botox®
      • Juvederm Vobella®
      • Juvederm Vollure®
      • Juvederm Voluma®
      • Juvederm Volux®
      • Juvederm Ultra XC® and Juvederm Ultra Plus XC®
      • Kybella™
    • Laser Treatments
      • Laser Skin Rejuvenation
    • CoolSculpting®
    • Pro-Nox™
    • Microneedling Treatments
  • Med Spa
    • Skin Care Treatments
      • Diamond Glow Dermalinfusion
      • SkinMedica® Chemical Peels
    • Skin Care Products
    • Latisse ®
  • Before and After
    • Breast Enhancement
      • Breast Augmentation
      • Breast Lift
      • Breast Reconstruction
      • Breast Reduction
      • Inverted Nipples
    • Body Sculpting
      • Abdominoplasty
      • Arm Lift
      • Tummy Tuck
      • Fat Transfer
      • Thigh Lift
      • Labiaplasty
      • Liposuction
    • Facial Surgery
      • Earlobe Repair
      • Eyelid Surgery
      • Facelift
      • Lip Augmentation
      • Liquid Facelift
      • Otoplasty
      • Rhinoplasty
    • Plastic Surgery For Men
      • Gynecomastia
    • Laser Treatments
      • Laser-Ablative
    • CoolSculpting®
    • Videos
  • Financing
  • Testimonials
  • About Us
    • About Dr. Beam
    • Choosing a Surgeon
    • Meet Our Staff
    • Patient Forms
    • FAQ
    • Specials
    • Blog