ACCESSIBILITY
Appointment Request

El Paso Plastic Surgery Appointment Request - Cosmetic Surgery of the Southwest

IT IS WITH GRATITUDE AND A TOUCH OF SADNESS THAT I HAVE DECIDED TO MOVE ON TO THE NEXT CHAPTER OF MY LIFE AND AM

ANNOUNCING MY PLANS TO RETIRE THE END OF MAY, 2018.  TO ALL OF MY PATIENTS, YOU MADE COMING TO THE OFFICE AND THE OPERATING

 ROOM A PLEASURE.  I HAVE BEEN BLESSED BY KNOWING EACH ONE OF YOU.  IF YOU SHOULD NEED TO CONTACT ME ABOUT ANYTHING,

PLEASE CALL ME AT: 915.472.4461


Please do not use this form to cancel or change an existing appointment.


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.