(336) 765-8620 info@forsythplasticsurgery.com
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Forsyth Plastic Surgery
  • About FPS
    • Surgeon Bios
      • Dr. John A. Fagg
      • Dr. Schneider
      • Dr. Kingman
      • Dr. George Lawson III
      • Dr. Leslie Branch
    • Aesthetician Bios
    • Meet Our Team
  • SURGICAL
    • For Breasts
    • For Face, Neck and Eyes
    • For the Body
    • Book an appointment
    • Forms
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    • About The VISTA
    • CoolSculpting
    • CoolTone
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    • Facials & Peels
    • Injectables
    • Laser Treatments
    • Microblading and Permanent Makeup
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Forms

Please print and fill out these forms prior to your first visit to Forsyth Plastic Surgery. This will make your first visit efficient and save you time. Thank you!

• Intake Form

• Patient Information Form

• HIPAA Form

Contact us

336-765-8620

info@forsythplasticsurgery.com

Winston-Salem:

2901 Maplewood Ave.

Kernersville:

231 Harmon Ln (Inside Central Carolina Dermatology Office).

Elkin:

150 Chatham Medical Dr.

336-835-1587

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Shop our skincare products

Surgeons

  • Choosing a Surgeon
  • John A. Fagg, M.D., F.A.C.S.
  • Andrew M. Schneider, M.D., F.A.C.S.
  • Gilson J. Kingman, M.D., F.A.C.S.
  • George A. Lawson, III, M.D., F.A.C.S.
  • Leslie G. Branch, M.D.

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Forms

• Intake form
• Patient information form
• HIPAA form
  • Choosing a Surgeon
  • John A. Fagg, M.D., F.A.C.S.
  • Andrew M. Schneider, M.D., F.A.C.S.
  • Gilson J. Kingman, M.D., F.A.C.S.
  • George A. Lawson, III, M.D., F.A.C.S.
  • Leslie G. Branch, M.D.

LOCATIONS

Winston-Salem (Main Office):
2901 Maplewood Avenue
Winston-Salem, NC 27103
(336) 765-8620 (Phone)
(336) 768-6236 (Fax)

Kernersville:
231 Harmon Lane
(Inside Central Carolina Dermatology Office)
Kernersville, NC 27284
(336) 765-8620

Elkin:
101-A Eldon Parks Drive
Elkin, NC 28621
(336) 765-8620

Our Board-Certified Plastic Surgeons

John A. Fagg, M.D., F.A.C.S.
Andrew M. Schneider, M.D., F.A.C.S.
Gilson J. Kingman, M.D., F.A.C.S.
George A. Lawson, III, M.D., F.A.C.S.
Leslie G. Branch, M.D.

NEW PATIENT FORMS

Intake Form

Patient Information Form

HIPAA Form

Master Policy on Protected Health Information

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