Dr. Jennifer Butterfield
Cosmetic & Reconstructive Surgery
970-384-7105

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NEW PATIENTS Image

NEW PATIENTS

Patient Forms

The following forms and instructions can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time during your visit, and will help us maintain a punctual schedule. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

New Patient Packet

New Patient Packet

Documentation Required for All New Patients

Arm Lift (Brachioplasty)

Arm Lift (Brachioplasty)

Cosmetic Procedure

Breast Augmentation

Breast Augmentation

Cosmetic Procedure

Breast Implant Exchange

Breast Implant Exchange

Cosmetic Procedure

Breast Implant Removal

Breast Implant Removal

Cosmetic Procedure

Breast Lift

Breast Lift

Cosmetic Procedure

Breast Lift with Augmentation

Breast Lift with Augmentation

Cosmetic Procedure

Brow Lift

Brow Lift

Cosmetic Procedure

Buttock Lift

Buttock Lift

Cosmetic Procedure

Ear Tuck (Otoplasty)

Ear Tuck (Otoplasty)

Cosmetic Procedure

*Individual results are not guaranteed and may vary from person to person. Images may contain models.