Patient Form

Dr. Berlet has been in practice as a New Jersey plastic surgeon for over 20 years in Essex County, Bergen County, and the surrounding areas and has developed a large clientele from around the country and abroad.

New patients are always welcome at Berlet Plastic Surgery. The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

New Patient Form - Berlet Plastic Surgery New Patient Information

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