Patient Forms
Your Registration Packet
Our goal is to make your consultation as comfortable as possible. One way we try to do this is by asking you to complete a registration packet at your convenience prior to your visit. This helps to streamline your visit and maximize the efficiency of your time. They can be securely emailed to admin@lexingtonps.com or mailed to our office at:
Lexington Plastic Surgery
3363 Tates Creek Road Suite 209
Lexington, KY 40502
Thank you.
Request For Treatment And Informed Consent Forms
Request For Treatment And Informed Consent Forms. Click on the link below to download forms related to your procedure:
- Abdominoplasty – Request For Treatment And Informed Consent Form
- Areolar Revision – Request For Treatment And Informed Consent Form
- Blepharoplasty – Request For Treatment And Informed Consent Form
- Brachioplasty – Request For Treatment And Informed Consent Form
- Breast Augmentation – Request For Treatment And Informed Consent Form
- Breast Implant Removal / Exchange – Request For Treatment And Informed Consent Form
- Breast Reconstruction Using Tissue Expander, Implant, Or Flap – Request For Treatment And Informed Consent Form
- Breast Reduction (Reduction Mammoplasty) – Request For Treatment And Informed Consent Form
- Breast Revision – Request For Treatment And Informed Consent Form
- Brow Lift / Forehead Lift – Request For Treatment And Informed Consent Form
- Consent Form for Administration of Nitrous Oxide for Pain & Anxiety Form
- Dermal Filler – Request For Treatment And Informed Consent Form
- Dog Ear Revision – Request For Treatment And Informed Consent Form
- Facelift / Meloplasty – Request For Treatment And Informed Consent Form
- Flap And Graft Procedures – Request For Treatment And Informed Consent Form
- General Consent Form
- KASPER Consent (Kentucky All Schedule Prescription Electronic Reporting System) Form
- Labiaplasty – Request For Treatment And Informed Consent Form
- Laser Resurfacing / Chemical Peel – Request For Treatment And Informed Consent Form
- Laser Vein Treatment – Request For Treatment And Informed Consent Form
- Lesion Excision(s) – Request For Treatment And Informed Consent Form
- Liposuction – Request For Treatment And Informed Consent Form
- Mastopexy (Breast Lift) – Request For Treatment And Informed Consent Form
- Microneedling – Request For Treatment And Informed Consent Form
- Neurotoxin Injection – Request For Treatment And Informed Consent Form
- Obagi Blue Peel – Request For Treatment And Informed Consent Form
- Otoplasty (Ear Pinning) – Request For Treatment And Informed Consent Form
- Patient Consent For Medical Photography Form
- PRO-NOX Analgesia Consent Form for Administration of Nitrous Oxide for Pain & Anxiety Form
- Registration Packet – Lexington Plastic Surgery Form
- Rhinoplasty (Nasal Reconstruction) – Request For Treatment And Informed Consent Form
- Scar Revision – Request For Treatment And Informed Consent Form
- Sclerotherapy / Cryotherapy – Request For Treatment And Informed Consent Form
- Tattoo Removal – Request For Treatment And Informed Consent Form
- Tissue Expanders -Informed Consent Form
Instructional And Post-op Maintenance Forms
Instructional and Post-Op Maintenance Forms. Click on the link below to download forms related to your procedure:
- Registration Packet
- Patient Instructions
- General Surgical Instructions
- General Surgical Post-Op Instructions
- Abdominoplasty Instructions
- Blepharoplasty Instructions
- Brachioplasty Instructions
- Breast Augmentation Instructions
- Breast Mastopexy and Breast Augmentation Instructions
- Brazilian Butt Lift Instructions
- Breast Implant Exchange
- Breast Implant Removal / Explant Instructions
- Breast Reduction Instructions
- Derm Peel Laser Instructions
- Facelift Instructions
- Fat Grafting Instructions
- Gynecomastia Instructions
- JP Drain Instructions
- Labiaplasty Instructions
- Labiaplasty Post Operative Instructions
- Limited Liposuction Instructions
- Mastopexy Instructions
- Needling
- Otoplasty Instructions
- Quadralid Blepharoplasty Instructions
- Rhinoplasty Instructions
- Sinus Precautions
- Skin Care Consultation Form
- Thighplasty Instructions
- Waxing Consult Form
Contact Us
What our patients are saying…
Had concerns with my sagging skin under neck area-lower eyelids-shallow face. The before/after image program that dr. Gerstle used, sealed the deal in going with my procedure.
Dr. Gerstle and his nurse “susan” made my procedure so comfortable for me! Helped me meet transportation concerns, met me in the office after hours…The list truly does go on and on. These are things that I think the medical field has got away from. Thanks dr. Gerstle for putting the patient first. Big thumbs up!!! – 50 year old male. Lexington, KY
I saw Dr. Gerstle at Lexington Plastic Surgery and am so happy that I did. He gave me some options about what he thought would look good and asked for my opinion and we hashed out a plan.
So happy I did this for myself. Dr. Gerstle did such a nice job. Next year I’m going back for a tummy tuck & telling all of my friends they need to do the same. Oh, and he always gives you his cell phone # and email so you can always ask him questions! How awesome is that?! – So So So Happy I Did This for Myself! – Lexington, KY
I have had nothing but a positive experience with Dr. Gerstle and the office staff. His demeanor and bed-side manor is positive, thorough, attentive, flexible, and personal.
When I had my consultation with Dr. Gerstle for facial asymmetry due to my neurofibromatosis I was so pleased with how it went, for the first time I felt confident that the results I had always wanted could be achieved. I was overjoyed with the results after my surgery and will continue to see him for anything I need in the future. – 29 Years Old with Facial Asymmetry
After finding Dr. Gerstle, I have to admit that I was a little skeptical because he was so new but after I met him and his staff for the first time, I knew that I was in the right hands. Not only is he very intelligent and dedicated to his practice, but he has a sincere appreciation for his patients. He made me feel welcomed and confident that I would receive the results I was looking for. He took a genuine interest in what I wanted and I am very pleased with the results so far. He’s not done with me yet though so I know more fantastic results are to come. – 25 Year Old Lipo Patient – Lexington, KY
I am extremely impressed with the entire experience! Everyone is happy, helpful, and considerate.
I am a customer for life!