you may complete your patient forms and bring to your appointment:
basic information: pdf | health history: pdf

Confidentiality is second only to safety for those interested in cosmetic procedures. Your interest in plastic surgery, and the choices you make, are your business and no one else's. Our commitment to patient privacy is reflected in our privacy policy.

When you provide your personal information to Galumbeck Beauty, Inc., that information will never be sold, rented, shared or distributed with any other business entity.

Only if you choose to receive information about special products and offerings (Spa Phoenix, Galumbeck Plastic Surgery or Skin Amnesty) will you receive email or print communications via email or mail.