Downey Plastic Surgery 

Medical Records Request

 

Downey Plastic Surgery patients 4/2006-5/2019

 

Proliance Surgeons patients 5/2019-9/2021

 

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Resources & Info

We welcome our new patients to Downey Plastic Surgery at Proliance Surgeons of Edmonds. For the most thorough consultation experience, we would like to know your health history.

Please download and complete these forms and bring them with you to your consultation with Dr. Downey. Completing it at your convenience before your appointment will reduce your wait time when you arrive at our office.

Please call us at (425) 778-8116 if you have any questions. We look forward to meeting you and being of service.

Downey Plastic Surgery Practice Overview Click Here to Download

Authorization to Release Patient Information Click Here to Download
Authorization to Release Patient Information -Permission for Dr. Downey to request copies of your medical records.

New Appointment Letter  – Click Here to Download

Problem List, Your Past & Current Medical Conditions & Prior Surgical Procedures  – Click Here to Download

Registration Form  – Click Here to Download

Plastic & Reconstructive Surgery Health History  – Click Here to Download