Plastic Surgery Associates

616 451 4500 800 419 4702

Patient Forms

New Patient Information Form

To help out our new patients and to save time in the registration process, you are now able to download our New Patient Information Form (PDF), fill it out and bring it in with you on your first visit to our facility. If you haven't been in our office for two years, please download our New Patient Information Form, fill it out, and bring it with you to your appointment. We'll then be able to update your information.

Download our New Patient Information Form (PDF)

LATISSE® Screening Form

LATISSE is the first and only FDA approved prescription treatment for inadequate or not enough eyelashes and is available by prescription only. If you are interested in receiving LATISSE, please download the LATISSE Screening Form, fill it out, and bring it with you to your personal consultation.

Download our LATISSE Screening Form (PDF)