Intake Form
Our intake forms collect all the necessary information needed for our surgeons consultation & procedures.
Review of Systems
Reviewing and understanding our policies, systems, and overall practice is important and can be found here.
Release of Information Form
These forms allow us to release specific portions of your healthcare records in case another provider requires them.
Demographic Form
We use these to identify patients based on a series of categorical qualifiers for the purposes of accurate record-keeping.
Notice of Nondiscrimination
Surgical Services upholds values & actions that create a welcoming space for everyone who comes through our doors.
General Surgery
Established Patient Health History
Filling out your health history is a key component in our surgeons assisting you during your time spent with us here at Surgical Services.
General Surgery
Varicose Vein Questionnaire
A form with a series of questions designed to assess your vascular health and decide on a course of action.
Plastic Surgery
Abdominoplasty Intake Form
An informational form we request our abdominoplasty patients fill out before we begin treatment.
Plastic Surgery
Breast Reduction Intake Form
An informational form for our breast reduction patients to fill out before they begin our services.
Plastic Surgery
Top Surgery Intake Form
An informational form for our top surgery patients to fill out before they begin our services.
Plastic Surgery
Panniculectomy Intake Form
An informational form for our panniculectomy patients to fill out before they begin our services.
Our premier surgical services
General surgery
For most common operations, our General Surgeons are experienced and capable when it comes to helping you.
Plastic surgery
Facial, Breast, or Body procedures, our plastic surgeons in Iowa City are top-tier and know exactly how to make you feel like the best you!
Emergencies
Life happens, which is why we are proud to offer quality emergency services to our patients when they need them most.
