Scottsdale Online Plastic Surgery Consultation

To begin your virtual consultation with Dr. Lille, fill out the form below. Depending upon your answers here you will be asked follow-up questions on the next page. You will also be able to upload photos for Dr. Lille.

Patient Forms

Download Adobe Acrobat Reader to view, download, and complete each form.

Please complete these patient information forms and submit them prior to your visit. After downloading the forms, you may either fill them out on your computer or print them out and complete them by hand. If you would like to submit them by email, please send them to [email protected] as an attachment.

Thank you very much. We look forward to meeting you.

Patient Registration Form

Patient Medical History Form

Acknowledgement Form

Notice of Privacy Practices Form