Forms

Patients who are new to Dr. Bartlett’s practice will be asked to provide information about themselves in order to provide the safest and most effect care possible.
Please take a moment to download and fill out our New Patient Registration Form and the Adult or Pediatric Medical History Form.

Book Now

Patient Forms

Authorization for Release of Medical Records

No Meds List

Intake Form

Breast Reduction Questionnaire

Directions to Office

Gender Affirming Surgery Questionnaire

Registration Form

Mentor Implant Decision Checklist

PRE- AND POST-OPERATIVE INSTRUCTIONS

For your convenience, the office of Boston-based plastic surgeon Dr. Richard A. Bartlett, M.D. provides comprehensive instructions to help cosmetic surgery patients prepare for their procedures. To learn how to prepare for an operation, as well as what to expect following surgery, select from the surgical procedures listed below.

Abdominoplasty Instructions

Blepharoplasty Instructions

Breast Augmentation Instructions

Breast Mastopexy & Augmentation Instructions

Post-Op Bra Suggestions

Breast Reduction Instructions

Chin Implants Instructions

Derm Peel Laser Instructions

Facelift Instructions

Gynecomastia Instructions

Limited Liposuction Instructions

Liposuction Instructions

Mastopexy Instructions

Rhinoplasty Instructions

Tissue Expander Instructions

Top Surgery Instructions

Consent Forms

Abdominoplasty Consent Form

Blepharoplasty Consent Form

Breast Augmentation Consent Form

Brow Lift Consent Form

Chin Augmentation Consent Form

Facelift Consent Form

Gynecomastia Consent Form

Liposuction Consent Form

Lower Body Lift Consent Form

Mastopexy Consent Form

Mentor Implant Consent Form

Nipple Reconstruction Consent Form

Open Capsulectomy and Breast Implant Exchange Consent Form

Otoplasty Consent Form

Reduction Mammoplasty Consent Form

Rhinoplasty Consent Form

Rhinoplasty with Septoplasty Consent Form

Scar Revision Consent Form

Septoplasty Consent Form

Sientra Silicone Implant Consent

Thigh Lift Consent Form

Top Surgery Consent Form