5969 E. Broad Street, Suite 302
Columbus, OH 43213
Office Phone: 614-864-9547
Fax: 614-864-5649
Questionnaire for Women Considering Breast Reduction Surgery ![]()
Authorization for Release of Patient Photograph ![]()
Breast Reduction Informed Consent ![]()
Breast Implant Removal Consent ![]()
Breast Augmentation and/or Breast Implant Reconstruction Consent ![]()
5969 E. Broad Street, Suite 302
Columbus, OH 43213
Office Phone: 614-864-9547
Fax: 614-864-5649