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patient forms

Welcome to Our Patient Forms

At Royce Plastic Surgery, we want to make your experience as smooth and comfortable as possible. To save time at your visit, you can complete your new patient

paperwork securely online before your appointment. These forms allow us to understand your medical history, your goals, and how we can best support your care.

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All submissions are encrypted and HIPAA-compliant, ensuring your personal health information remains private and secure. If you prefer, you may also download

the forms to complete at home and bring them with you to your visit. Completing your forms in advance helps us focus more time on what matters most during

your consultation - listening to your concerns, discussing treatment options, and creating a personalized plan that feels right for you.

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Complete your patient forms online before your visit. All submissions are secure, private, and HIPAA-compliant for your peace of mind.

Dr. Jacqueline Royce, D.O.

Board-Certifed Plastic Surgeon, American Board of Physician Specialties

Free Consultations

(941) 358-3223

PATIENT INFORMATION FORM (scroll at the right side to fill out entire form)

Welcome to HIPAAtizer!

To complete setup, click 'Settings' on this widget to connect your HIPAAtizer form builder and start embedding secure, HIPAA-compliant forms on your site.

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