Patient Forms

Patient Forms at Dr. Philip Young | Aesthetic Facial Plastic Surgery Bellevue | Seattle Office

At Dr. Philip Young’s offices, our goal is more than patient satisfaction. We strive for your happiness. We want you to understand what your options are and how we can help in anyway. Below are links to some Plastic Surgery Patient Forms we will ask you to complete during your consultation appointment. You may also print and fill them out prior to your consultation appointment. If there are more questions you can contact us at anytime via email (contactusatdrphilipyoung.com), or phone (425-990-3223).  You can also find your patient care package organized by procedures by clicking here: Plastic Surgery Patient Care Packages.

How to fill out and send the forms below:
1. Click one of those forms below and save it to your computer.
2. Open the form (PDF) by Adobe Reader or Foxit Reader.
3. Fill out the form, then attach it in your email and send it to our email contactus(at)drphilipyoung.com


PATIENT CONSULTATION FORM

Info to Parents and Guardians of Legal Rights for Minors

General, HIPAA, Photo | Video Consent
REQUEST A CONSULTATION
Office: 425-990-3223
Call/text: 425-505-0938
contactusatdrphilipyoung.com
Your path to a more confident you begins here. Please contact us with any questions or to schedule your complimentary consultation with one of our Patient Care Coordinators by filling out the form below or emailing us at contactusatdrphilipyoung.com. You can also call us at 425-990-3223 (Office) or 425-505-0938 (Mobile). We look forward to hearing from you!
  • * Your message and please tell us what you want or need most from our procedures or from us. Items marked with * are required.