Forms

We want your experience at Liu Plastic Surgery to be as pleasant and hassle free as possible. In order to better serve your needs and to streamline your appointment, we ask that you download, print, and complete a new patient questionnaire prior to your appointment. Please remember to bring the completed questionnaire to your appointment.

Please select the questionnaire that best fits the nature of your appointment – male versus female and reconstructive versus cosmetic. If you are coming only for an injectable procedure, then please select the injectable questionnaire.

Female Cosmetic Form

Male Cosmetic Form

Injectable Procedure Form

Female Reconstruction Form

Male Reconstruction Form