Renaissance Plastic Surgery, P.C.
4030 Riverside Park Blvd.
Macon, GA 31210
Patient Forms
For your convenience, the practice has made available, for download, some of our most common patient forms. Please download, print, and complete these forms prior to your visit. Then bring them with you for your visit or return them earlier (by mail or fax) to expedite your visit.
All Forms
Individual Forms
- Patient Registration Form
- Medical Surgical History
- Questionnaire
- Renaissance Surgical Centre Patients Rights and Responsibilities
- HIPAA Informed Consent
- Medication List
- Informed Consent: Patient Computer Imaging
- Assignment of Benefits
- Policy for Patient Packet
- HIPAA Notice of Privacy Practices
Patient Forms
For your convenience, the practice has made available, for download, some of our most common patient forms. Please download, print, and complete these forms prior to your visit. Then bring them with you for your visit or return them earlier (by mail or fax) to expedite your visit.
All Forms
Individual Forms
- Patient Registration Form
- Medical Surgical History
- Questionnaire
- Renaissance Surgical Centre Patients Rights and Responsibilities
- HIPAA Informed Consent
- Medication List
- Informed Consent: Patient Computer Imaging
- Assignment of Benefits
- Policy for Patient Packet
- HIPAA Notice of Privacy Practices