Laser Bra Patient Resources Los Angeles

On this page you can find more information to help make your visit and procedure with us even easier. At Marina Plastic Surgery Associates, we are dedicated to excellent patient care and look forward to serving you.

Financing

It’s easy to fit cosmetic surgery into your budget with the affordable payment plans we offer through CareCredit, the nation’s leading healthcare finance company. No interest payment plans and plans up to 60 months are available on approved credit. Learn more about cosmetic surgery financing.

Alphaeon Credit

Forms

You can accelerate your check in process by downloading, printing and completing the forms below before you have your first office visit.

These forms must be printed and completed by hand and cannot be transmitted electronically. If you wish to send these forms to our office in advance of your first visit, we strongly recommend that you use a shipping method with tracking, such as FedEx, UPS, or DHL. All forms should be mailed to our Marina Del Rey office.

To view these forms you must have Adobe’s Acrobat Reader.

Forms for All New Patients

• Patient Information Form
• Medical History
• Patient Acknowledgement of Receipt of Provider’s Notice of Privacy Practices
• Cancellation Policy for Office Procedures and/or Surgery

Forms for Breast Surgery Patients

• Breast Evaluation Questionnaire
• Breast Reduction Questionnaire
• Instructions for Sending in Your Breast Surgery Photos

While you fill out forms for us, we have an offer for you. It’s our free eBook, available for you to download and review at your leisure. It contains information about preparing for surgery and your recovery, and it just may help you feel more ready when your big day comes.