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244 Western Avenue South Portland, Maine 041062496 Telephone (207) 7753446 Fax (207) 8791646 First Name Office Use: New Update New Problem Child & Student Registration Form Plastic, Reconstructive
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How to fill out plastic reconstructive and cosmetic:

01
Start by gathering all the necessary information and documents required to fill out the forms. This may include personal identification details, medical history, insurance information, and any previous medical records relevant to the procedure.
02
Carefully read and understand the instructions provided on the forms. Ensure that you have a clear understanding of what information is being asked for and how it should be filled out.
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Begin filling out the forms accurately and honestly. Provide all the necessary information, including your full name, date of birth, contact information, and any relevant medical conditions or history that may affect the procedure.
04
Pay close attention to any sections that require additional documentation or supporting evidence. This may include attaching medical reports, X-rays, or photographs as instructed. Make sure to follow the specified guidelines for attaching and labeling these documents.
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If you are unsure about any sections or have questions, it is advisable to consult with your plastic reconstructive and cosmetic surgeon or their office staff. They will be able to provide guidance and clarification on how to correctly fill out the forms.
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Once you have completed the forms, review them thoroughly to ensure accuracy and completeness. Double-check for any missing information or errors that may need correction.
07
Sign and date the forms as required. Some forms may also require additional signatures from your surgeon or a witness. Follow the instructions provided to complete the signing process correctly.

Who needs plastic reconstructive and cosmetic:

01
Individuals who have suffered physical injuries or trauma that have resulted in disfigurement or functional impairments may require plastic reconstructive surgery. This can include individuals with burns, birth defects, or those who have undergone cancer treatments.
02
People seeking cosmetic enhancements or alterations to improve their physical appearance may opt for plastic cosmetic procedures. This can include procedures such as breast augmentation, rhinoplasty, facelifts, or liposuction.
03
Patients who have undergone medical procedures that require reconstructive or cosmetic interventions as part of their treatment or recovery may also require plastic reconstructive and cosmetic procedures. This can include breast reconstruction following mastectomy or corrective surgery after accidents or injuries.
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Plastic reconstructive and cosmetic surgery involves procedures that improve the appearance and function of a person's body.
Individuals who undergo plastic reconstructive and cosmetic surgery are required to file the necessary documentation.
To fill out plastic reconstructive and cosmetic forms, individuals must provide details about the procedures, healthcare providers, and costs involved.
The purpose of plastic reconstructive and cosmetic surgery is to enhance a person's physical appearance, improve self-esteem, and address medical issues.
Information such as the type of procedure, date of surgery, name of healthcare provider, and total cost must be reported on plastic reconstructive and cosmetic forms.
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