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+ 1 541-754-3010

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Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form
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Plastic, Aesthetic and Reconstrusctive Surgery – Medellín, Colombia

+57 301-284-4620

All inquiries are managed by MEDtour Colombia.

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Calle 23 Sur # 42B-63
Medellín, Colombia

 

Mon – Fri: 8:00am – 4:00pm
Sat: 8:00am – 1:00pm

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+ 1 541-754-3010

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