Children's Hospital Boston  300 Longwood Avenue
Boston, MA 02115
(617) 355-6000
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Clinical Services (Plastic Surgery):
Important Forms
You may find it helpful to fill out the following forms before your office visit:
Patient Registration Form
Medication History Form
Medical Record Release Form
In the Department of Plastic Surgery, satisfaction with your clinical experience is of the utmost importance to us. Please download the following form and bring it with you to your appointment, or feel free to complete and fax the survey back to us following your visit. Your responses help to set the standard for the quality of care we provide.
Post-Visit Satisfaction Survey
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which can only be given to you by your personal health care professional.
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