Patient Forms & Instructions
At Pacific Center for Plastic Surgery, we want you to feel comfortable and know what to expect before, during, and after your procedure. To help ensure that you have all the information you need to be fully prepared, please find our patient forms and instructions below. If you have any questions, please don’t hesitate to call our office. A knowledgeable member of our team is always happy to help.
Patient Forms
Click on any of the links below to download a PDF form. We encourage you to fill out our forms ahead of time and bring them to your appointment so you can focus on the discussion with your surgeon and any questions you may have about your treatment plan.
If you are having trouble viewing these PDF forms, you may need to get the latest version of Adobe Acrobat Reader, which is available for free from Adobe.
Patient Instructions
Before and after any procedure, it’s important to follow all pre and post-operative instructions for optimal results and safe recovery.
Please select from the following lists of pre-operative and post-operative instructions in Adobe PDF format.
Pre-Operative Instructions
- General Pre-Op Instructions: General information for all patients prior to surgery.
- Clonidine Patch Instructions: Detailed instructions from our surgeons on the proper use of Clonidine patches.
- Scopolamine Patch Instructions: Detailed instructions from our surgeons on the proper use of Scopolamine patches.
- Medication Timelines: Information about when and how often to take your medications.
Post-Operative Instructions
If you have any questions about the above instructions, please don’t hesitate to call our office at (949) 565-2121.
Good Faith Estimate
The NO SURPRISES ACT (NSA) was passed by the federal government in January 2022. In compliance with the NSA and California statutes, we will provide you with a good faith estimate (GFE) at your initial consultation.
We look forward to seeing you at your appointment!

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