100 Park Place Suite #240 | San Ramon, CA 94583

Plastic Surgery Patient Forms

For your convenience, we have listed our Patient Registration Forms and Pre and Post Operative Instructions on this page. For new patients, please print and fill out the registration forms prior to your first office visit with us. For existing patients, please feel free to download and print forms for the appropriate procedure. As always, if you have any questions about information listed on these forms, please call our San Ramon, California office at 925-837-1347.

Current Patients Please Click Here

Adobe PDF Download Patient Forms


  • “ Everyone is so helpful and kind from the staff to the nurses and especially Dr. Place herself. I love the wonderful environment and all the services offered. Not once did I feel any discomfort or pain. I trust this place for all my cosmetic services and highly recommend to anyone! ”

    - NS

  • “ The ladies working the front desk are Amazing and is so is Dr. Place. She gives 100% attention to details and lessons to your thoughts & concerts. I would definitely recommend Dr, Place to friends. Thank you Dr, Place ”

    - MT

  • “ I have been seeing Dr. Place for a number of years. She is really an artist and knows how to get the best looking results with Botox and fillers. I have seen other cosmetic doctors and no one is even close. She and her staff are super helpful and explain everything clearly. Apart from her artistry, Dr. Place seems like an extremely competent physician. ”

    - HT

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