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

Basis Forms:


Info to Parents and Guardians of Legal Rights for Minors

General, HIPAA, Photo | Video Consent
Other Forms That May Help You:

Blepharoplasty Packet

Botox | Dysport Packet

Brow lift Packet

Chemical Peel, Microdermabrasion Packet

Co2 laser resurfacing packet

Facelift Packet

Facelift/Necklift Packet

Facial Implant Packet

Fat Transfer Packet


Hair Transplantation Packet

General, HIPAA, Photo | Video Consent

Intense Pulse Packet

Laser Hair Removal Packet

Lip Lift | Lift Augmentation Packet

Liposuction Packet

Medications to Avoid

Medication patient record sheet PDF

Medication patient record sheet EXCEL

Minor Procedure Packet

Otoplasty Packet

Pre Operative Surgery Shower

Pre-Procedure Reminders

Patient Consultation Form

Rhinoplasty Packet

Scar Revision Packet

UW Daily Article
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Please check your Junk Mail if you don't hear from us in 24 business hours or email us at contactus(at)drphilipyoung.com. Thank you
Office: 425-990-3223
Call/text: 425-505-0938
Our Mission "We are facial plastic surgery experts who set ourselves apart with our passion to improve facial rejuvenation to get the best and most natural results through the fusion of traditional thoughts with innovation and thinking outside of the box. Our mission is to put all of our love into the procedures we do and take care of people as if they were our closest friends and family. We want to deliver unwavering quality care to improve people's lives through Facial Plastic Surgery and the YoungVitalizer."