Patient Forms

Thank you for your interest in Aesthetic Specialists of Atlanta, office of Dr. Amy Simon.

For surgical consultations: please plan on 1½ to 2 hours for the complete consultation.

For skin care consultations: please plan on 45 minutes for the complete consultation.

For payment of products/services, we accept cash, check, VISA, Mastercard, and Discover. Please note, we do not accept American Express.

If you need to reschedule your appointment for any reason, please let us know as soon as possible. Please be advised that you will be charged a non-refundable missed appointment fee for cancellations with less than 24 hours notice or failure to show up for your appointment. In an effort to increase time with you during your consult, if you are running late 15 minutes or more, we cannot guarantee that you will be seen. (Please click here for our detailed cancellation policy.)

For directions to our office and additional information, please click here. If you have any questions, please feel free to contact us.

Please select the appropriate link below to print and complete the new patient forms. If you are considering breast surgery as part of your consultation, please choose the Plastic Surgery/ Breast Surgery Consultation link. Bring the completed forms along with your insurance card and driver's license to your appointment.

We look forward to meeting you!