{"id":13702,"date":"2022-09-01T18:48:46","date_gmt":"2022-09-01T18:48:46","guid":{"rendered":"https:\/\/www.avivaplasticsurgery.com\/?page_id=13702"},"modified":"2026-06-26T11:04:22","modified_gmt":"2026-06-26T15:04:22","slug":"download-new-patient-forms","status":"publish","type":"page","link":"https:\/\/www.avivaplasticsurgery.com\/es\/resources\/download-new-patient-forms\/","title":{"rendered":"Download New Patient Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"13702\" class=\"elementor elementor-13702\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49413a6 elementor-section-height-min-height elementor-section-content-middle elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"49413a6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4a4be29 hdro\" data-id=\"4a4be29\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0bc52d9 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0bc52d9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-924689f\" data-id=\"924689f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-142bdc4 elementor-widget elementor-widget-heading\" data-id=\"142bdc4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Patient Forms<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-630646f elementor-widget elementor-widget-breadcrumbs\" data-id=\"630646f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/www.avivaplasticsurgery.com\/\">home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-13d2aa0\" data-id=\"13d2aa0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c0ea6a elementor-widget__width-initial elementor-absolute move-img elementor-widget elementor-widget-image\" data-id=\"2c0ea6a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883-1024x683.jpg\" class=\"skip-lazy attachment-large size-large wp-image-13707\" alt=\"\" srcset=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883-1024x683.jpg 1024w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883-300x200.jpg 300w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883-768x512.jpg 768w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883-1536x1025.jpg 1536w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2022\/09\/filling-medical-documents_1098-21883.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c24e6c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c24e6c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3e2398d\" data-id=\"3e2398d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0c56aa7 elementor-absolute e-transform elementor-hidden-tablet elementor-hidden-mobile nopointer elementor-widget elementor-widget-image\" data-id=\"0c56aa7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;,&quot;_transform_translateX_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-12,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-207,&quot;sizes&quot;:[]},&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_direction&quot;:&quot;in-out&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:37,&quot;end&quot;:74}},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;_transform_translateX_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-1024x1024.png\" class=\"skip-lazy attachment-large size-large wp-image-4712\" alt=\"\" srcset=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-1024x1024.png 1024w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-300x300.png 300w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-150x150.png 150w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-768x768.png 768w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-1536x1536.png 1536w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01-980x980.png 980w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/elementor\/thumbs\/TracedGrayIcon2-01-py9loqa4txoiuklyo2tkidbe30ri4a66y7ipful4f4.png 400w, https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2021\/12\/TracedGrayIcon2-01.png 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-545a119\" data-id=\"545a119\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-83b7dd3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"83b7dd3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e8cca3\" data-id=\"2e8cca3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fa4bf36 elementor-widget elementor-widget-heading\" data-id=\"fa4bf36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">New Patient Forms:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ffabb6f elementor-widget elementor-widget-text-editor\" data-id=\"ffabb6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2026\/02\/New-Patient-Paperwork-Aviva-Plastic-Surgery.pdf\" download=\"Aviva New Patient Paperwork Fillable\"><img decoding=\"async\" class=\"alignleft \" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/8\/87\/PDF_file_icon.svg\" width=\"23\" height=\"28\" \/>Patient Medical History Form<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d0474d\" data-id=\"2d0474d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5977925 elementor-widget elementor-widget-heading\" data-id=\"5977925\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Surgical Clearance Forms:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a98c24 elementor-widget elementor-widget-text-editor\" data-id=\"3a98c24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2026\/06\/PCP_RESURGERY_EVALUATION_-CLEARANCE.pdf\" download=\"Pre-Surgical Clearance from a PCP (Primary Care Provider)\"><img decoding=\"async\" class=\"alignleft \" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/8\/87\/PDF_file_icon.svg\" width=\"23\" height=\"28\" \/>Pre-Surgical Clearance from a PCP (Primary Care Provider)<\/a><\/li><li><a href=\"https:\/\/www.avivaplasticsurgery.com\/wp-content\/uploads\/2026\/06\/OPHTHALMOLOGIST_PRESURGERY_EVALUATION_-CLEARANCE.pdf\" download=\"Pre-Surgical Clearance From an Ophthalmologist\"><img decoding=\"async\" class=\"alignleft \" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/8\/87\/PDF_file_icon.svg\" width=\"23\" height=\"28\" \/>Pre-Surgical Clearance From an Ophthalmologist<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-392ec49 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"392ec49\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dc55def\" data-id=\"dc55def\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1bb2cde4 elementor-section-content-middle elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"1bb2cde4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation_mobile&quot;:&quot;fadeInDown&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-75f08513\" data-id=\"75f08513\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-59dca055 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59dca055\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2e7b57c1\" data-id=\"2e7b57c1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2493ab58 elementor-widget elementor-widget-heading\" data-id=\"2493ab58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Love The Way You Look and Feel<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f3fd141 elementor-widget elementor-widget-text-editor\" data-id=\"5f3fd141\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Contact us today to start your journey to your best self<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58ad5fb7 elementor-widget elementor-widget-button\" data-id=\"58ad5fb7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:53}},&quot;motion_fx_devices&quot;:[&quot;mobile&quot;],&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.avivaplasticsurgery.com\/contact-us\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Schedule Now<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Patient Forms New Patient Forms: Patient Medical History Form Surgical Clearance Forms: Pre-Surgical Clearance from a PCP (Primary Care Provider) Pre-Surgical Clearance From an Ophthalmologist Love The Way You Look and Feel Contact us today to start your journey to your best self Schedule Now<\/p>","protected":false},"author":3,"featured_media":0,"parent":685,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-13702","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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