Patient Resources

Fill out forms ahead of your visit to save time

Patient Information & Resources

At Mickel Plastic Surgery, we are committed to providing you with the best possible plastic surgery care in the North Louisiana area. This starts with listening to your needs and educating you about your options. Knowing what to expect during your procedure and discussing the benefits and risks of the procedures you are about to undergo are essential in being an informed patient. Our support and care continues until you have fully recovered from your plastic surgery procedures.

At Mickel Plastic Surgery, we require that you complete a few forms and answer questions about your health and medical history. To save time at check-in, please print and fill out these forms ahead of time and bring them with you on your first visit to our office.

Dr. Mickel Patient Forms

Patient Welcome Form

Patient Welcome Form Description

HIPPA Receipt Form

HIPPA Receipt Form Description

Privacy Practices Form

Privacy Practices Form Description

Patient Authorization Form

Patient Authorization Form Description

Patient Registration Form

Patient Registration Form Description

General Health Form

General Health Form Description

Natalie’s┬áPatient Forms

General Health / Patient Information

Natalies New Client Form