If you are being evaluated for an insurance covered procedure please bring your photo ID and insurance card to your visit. Check with your insurance carrier for any applicable co-payments required. Co-payments are due at the time of the appointment.
Desert Plastic Surgery Face Sheet Page 1
Desert Plastic Surgery Face Sheet Page 2
*Please fill out both pages prior to your visit. You can fax them to us at 480-990-2240, email them to email@example.com or bring them with you.
For your convenience, we accept Visa, MasterCard, and Discover.
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If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice. This courtesy on your part will make it possible to give your appointment to another patient.
9977 North 90th Street, Suite 178
Scottsdale, AZ 85258
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