Intake Forms

To enhance your experience with Christiana Cosmetic Surgery Consultants, please use the links below to print out the relevant forms, complete by hand prior to your visit, and bring them with you. 

Important Notice: Please select the form you wish to complete by clicking on the PDF link, which opens the PDF in a separate window. Please print out the form(s), complete them by hand in ink, and bring with you to your appointment. Please do not complete the form within the PDF on the computer, as we are not set up for electronic submission of forms. Thank you so much, and we look forward to seeing you in our office!

Our office offers assistance with time off and disability requests related to recovery from surgery. We request at least two week's notice to complete all forms. There is a one-time fee of $25.00 for the first set of forms, and $15.00 for each set thereafter for the same date of surgery. Please use the link below to complete in its entirety and return to our office along with any needed paperwork.

Disability Instructions