Patient Forms

As a courtesy to our patients, we offer patient forms online. Please feel free to print out and complete the forms, and bring them with you to your first appointment.

Download Farrell Plastic Surgery & Laser Center patient information forms. (PDF)

Dr. Leo Farrell will be retiring December 31, 2024. If you would like to request copies of your medical records, please fill out the "Medical Records Release Form" that is linked below. This form is required to be completed for any records to be picked up or sent to another physician's office.

Once our office receives the completed form, please allow up to two weeks for the records to be prepared. If you would like to pick up the records, our office will schedule a time for you to pick them up.

Download Medical Records Release Form. (PDF)

Get In Touch With Us

FILL OUT THE FORM OR CALL US

STILL YOU. ONLY BETTER.

Taking the time necessary to ensure natural-looking outcomes is a key ingredient to Drs. Leo and Deborah Farrell’s ability to provide consistently elegant results that never appear obvious or overdone— and to do so with less discomfort or downtime for you.

“We never hurry through a procedure. That’s how beautiful outcomes are achieved.”

HOW MAY WE HELP?

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