Patient Forms

woman on the beachWe have provided additional plastic surgery resources for your education, preparation and awareness. We have also provided common patient forms that you can view, download and fill out prior to your consultation with Dr. Potter.

Patient Infomation Sheet

Health Information Sheet

Insurance Information and Authorization

Plastic Surgery News From ASPS

Plastic surgery among men on the rise

Cosmetic procedures among men increased by 16 percent from 2000 to 2011 nationally, according to the American Society of Plastic Surgeons, but still remain a small part of the practice. About 9 percent of cosmetic procedures were performed annually on men between 2008 and 2011, the society said. Read more

ASPS applauds introduction of legislation to empower women with breast cancer to better understand their care choices

The American Society of Plastic Surgeons (ASPS) today announced its strong support of H.R. 5937, the "Breast Cancer Patient Education Act." Read more

More high school grads turning to “post-pomp” procedures

Graduations are behind us this semester, but there's a growing trend of more and more graduates getting plastic surgery as gifts. Read more

Award-winning recording artist Jewel named spokesperson for the first annual national Breast Reconstruction Awareness (BRA) Day on October 17, 2012

The American Society of Plastic Surgeons launches National BRA Day to promote education, raise funds for research and improve access to women eligible for post-mastectomy breast reconstruction. Read more

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