Patient Forms


We look forward to meeting you and discussing your plastic surgery goals. In order to accelerate your check-in process, please download, print, and complete the New Patient Registration Form below and bring it with you to your appointment. If you’re unable to do so, we kindly request that you arrive at least 15 minutes early so that you can complete the form in the office prior to your appointment time.

To view these documents, you must have Adobe Acrobat Reader.

Download the FREE Acrobat PDF Reader 

New Patient Registration Form

Financial Policy

Notice of Privacy Practices

Rejuve Plastic Surgery
1300 Chain Bridge Road
McLean, VA 22101
Phone: 571-260-0067
Fax: (703) 483-9986
Office Hours

Get in touch