Before Your Visit

At Cannon Plastic & Reconstructive Surgery, we believe in plastic and reconstructive medicine is about “beauty as a means of healing” and that your experience should reflect that—every step of the way.

It is our goal to serve patients on time, though delays are sometimes unavoidable.

One way to save time (and eliminate the need to fill out forms upon arrival) is to download, complete, and bring the packet of below-referenced forms with you. This will decrease any wait time and allow us to process your information with discretion and efficiency.

Patient Information Packet

  • Patient Information Sheet
  • Insurance Information
  • Medical History
  • Patient’s Bill of Rights
  • E-Prescription Information
  • Smoking Risk Consent
  • Cancellation and No-Show Policy
  • Additional Releases (3)

Download PDF

If you experience any difficulty downloading these forms (all are included in the downloadable .pdf, please contact us and a member of our staff will be happy to see that you get them. Dr. Cannon and his team look forward to meeting you and to discussing the full range of options available to you, given your individual concerns.