The following are a collection of forms that are frequently given to patients by the staff at Weider Plastic Surgery. Please check with the office to make sure these files are the latest versions available. These forms are for reference only and are not intended as medical advice unless reviewed with Dr. Weider. Please click on the following links to download PDF files.

Complete Patient Packet with all the Following Forms
Cosmetic Patient Demographics
Patient History Questionnaire
Financial Policy
Release of Records
Authorization of Release of Medical Photographs
Cosmetic Deposit Refund Policy


At Weider Plastic Surgery, we realize that the costs associated with surgery are significant. We strive to provide as many means of payment as possible. As payment for cosmetic procedures we accept cash, cashier’s checks, most major credit cards as well as health care financing via ChaseHealthAdvance or CareCredit.

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