Plastic Surgery Procedure Patient Information – Plastic Surgery Procedure Welcome to Dr. Beam’s Office…………………………………………………………………FOR COSMETIC PATIENTS Thank you for selecting us for your plastic surgery needs. We will strive to provide you with the best possible care. Please fill out this form completely. If you have any questions, please ask us–we will be happy to help. PATIENT’S PERSONAL INFORMATION Today’s Date: 3/11/2013 Patient’s Name: Date Of Birth:
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