Office Forms

Prior to your consultation, please complete our Patient Consultation Forms. Please fill out the forms and either:

1. Bring a copy into our office at the time of your appointment or
2. Email it to mailto:vgoldstein@grottingplasticsurgery.com, or
3. You may fax the forms to 205-991-9521 attention to Vicki Goldstein.

*NOTE: Adobe Reader is required to download this form and fill it out electronically. Click here to download Adobe Reader.

• Patient Information
• History and Physical Information
• HIPPA Consent Form
• Explanation of Payment
• Photo Release

Grotting Plastic Surgery and Medspa
1 Inverness Center Parkway
Birmingham, Alabama 35242

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