Scottsdale Online Plastic Surgery Consultation

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.

Due to Covid-19 now is a good time to schedule a virtual consultation with Dr. Lille.
Dr. Lille utilizes Zoom to connect with patients and to plan surgeries now when you may have time in your schedule.

 

Patient Forms

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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





Concerns

















(480) 661-6197
10210 N. 92nd Street, Suite 203
Scottsdale, AZ 85258
Due to Covid-19 now is a good time to schedule a virtual consultation with Dr. Lille.
Dr. Lille utilizes Zoom to connect with patients and to plan surgeries now when you may have time in your schedule.

 

Request a Consultation

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