Stratis Gayner Plastic Surgery
10 Capital Drive #100
Harrisburg, PA 17110
Phone: (717) 728-1700
Tuesday, Thursday: 8 a.m.–4 p.m.
Wednesday: 8 a.m.–5 p.m.
Friday: 8 a.m.–3 p.m.
Phones are open 8 a.m.-5 p.m. every day
Patient Consent Forms
- Consent Form for Abdominoplasty
- Consent Form for Accusculpt
- Consent Form for Augmentation Mammaplasty
- Authorization for Use of Information Consent
- Consent Form for Belpharaplasty
- Consent Form for Body Lift
- Consent Form for Botox
- Consent Form for Brachioplasty
- Consent Form for Breat Implant Exchange
- Consent Form for Breast Implant Removal
- Consent Form for Breast Reconstruction with Latissimus Flap
- Consent Form for Breast Reconstuction with Tissue Expander Consent
- Consent Form for Breast Reconstruction with Tram Abdominal Muscle Flap Consent
- Consent Form for Carpal Tunnel Release
- Consent Form for Dysport®
- Consent Form for Facelift
- Consent Form for Fat Grafting
- Consent Form for Ganglion Cyst Surgery
- Consent Form for Gynecomastia
- Consent Form for Implant Check Out
- Consent Form for Juvéderm® Ultra
- Consent Form for Juvéderm® Ultra Plus
- Consent Form for Laser Resurfacing
- Consent Form for Laser and Light Based Treatment
- Consent Form for Lesion Excision
- Consent Form for Lip Augmentation with Silicone Lip Implant
- Consent Form for Liposuction
- Consent Form for Mastopexy
- Consent Form for Medial Thighlift
- Consent Form for Mini Abdominplasty
- Consent Form for Nipple Reconstruction
- Consent Form for Open Capsulectomy and Breast Implant Exchange
- Consent Form for Otoplasty
- Consent Form for Photos
- Consent Form for Placement of Permanent Breast Implant Following Tissue Expansion
- Consent Form for Radiesse®
- Consent Form for Reduction Mammaplasty
- Consent Form for Saline Implant Overfill
- Consent Form for Scar Revision
- Consent Form for Sculptra®
- Consent Form for Septoplasty
- Consent Form for Skin Graft
- Consent Form for Smoking Risk Acknowledgement
- Consent Form for Thighplasty
- Consent Form for Ultherapy®
- Consent Form for Zeltiq