Patient Forms
Adult Patient Packet
Juvenile Patient Packet (Age 14 & Under)
You can download all of the forms you need combined into a convenient packet using one of the links above. To find individual forms without downloading the entire packet, please select from the links below. Please print the forms single-sided and do not use double-sided format.
Office Appointment Cancellation Policy
Plastic Surgery Patient | via RateMDs.com Patient | via vitals.com Patient | via ratemds.com Plastic Surgery Patient | via RateMDs.com Breast Augmentation Patient | via vitals.com Plastic Surgery Patient | via RealSelf.com J. B. | via vitals.com Plastic Surgery Patient | via vitals.com Patient | via ratemds.com R. | via Google Ratings E. W. | via Google Ratings T. T. | via Google Ratings New Patient | RateMDs.com G. C. | via insiderpages.com D. H. | via RateMDs.com B. C., Plastic Surgery Patient | via angieslist.com Breast Augmentation Patient | via ratemds.com A. R. | via Yelp.com Breast Augmentation Patient | via ratemds.com K. V. | via Google Ratings B. | via healthgrades.com Patient | via ratemds.com L. C. | Yelp Reviews A. S. | via Yelp.com L. A. | via healthgrades.com H. B. | via Google Ratings L. F. | Patient via In-Office Survery Patient | via vitals.com D. H. | via Yelp.com S. M. | via Google Ratings Patient | via vitals.com R. S. | via Google Ratings A. S. | via Google Ratings Patient | via ucomparehealthcare.com L. C. | Breast Reconstruction Patient via vitals.com R. N. | Yelp reviews D. K. | Patient via In-Office Survey Face Lift Patient | via vitals.com K. N. | via Google Ratings Breast Reduction Plastic Surgery Patient | via RealSelf.com J. F. | Yelp reviews R. C. | via Yelp.com Breast Reduction Plastic Surgery Patient | via RealSelf.com J. P. | via Google Ratings Patient | via vitals.com Plastic Surgery Patient | via RateMDs.com Patient | via vitals.com Patient | via ucomparehealthcare.com Patient | via ratemds.com Plastic Surgery Patient | via MD.com Plastic Surgery Patient | via RateMDs.com L. B. | Patient via In-Office Survey L. S. | via insiderpages.com P. C. | via Google Ratings D. H. | via Yelp.com F. S. | via Google Ratings T. W. | via Google Ratings D. H. | via vitals.com L. C. | via Google Ratings J. F. | via yelp.com Patient | via vitals.com Plastic Surgery Patient | via RealSelf.com B. T. | via Yelp.com Plastic Surgery Patient | via RateMDs.com S. P., Plastic Surgery Patient | via healthgrades.com M. S. | via Yelp.com M. S. | via Google Ratings Plastic Surgery Patient | via RateMDs.com J. P. | Yelp reviews Patient | via ratemds.com L. S. | via Google Ratings Plastic Surgery Patient | via vitals.com T. S. | via Google Ratings M. B. | via Google Ratings Breast Reduction Plastic Surgery Patient | via RealSelf.com D. H. | via Google Ratings Plastic Surgery Patient | via healthgrades.com
I am absolutely thrilled with my results
I love Dr. Kerner
I would never go anywhere else
Dr. Kerner’s ethics are second to none
Terrific surgeon!
Loving my boobies and enjoyed not being remotely self conscious at the beach!!!
Terrific Doctor & Experience
Thrilled with the results!
Her work is OUTSTANDING!
The price was very reasonable and the results are perfect
I’ve been very pleased with every experience
Nobody holds a candle to Dr. Kerner
I would trust her with any future cosmetic surgery I or my family may have.
She is a perfectionist
Dr. Kerner is an EXCEPTIONAL DOCTOR
Dr. Kerner took care of everything
I would recommend her to anyone
We love Dr. Kerner and her staff, which are all amazing
I would trust her with any cosmetic surgery
I Highly Recommend Dr. Kerner for Hand Surgery – Caring Professional Staff
What a great doctor and staff
I couldn’t have asked for a more knowledgeable and caring surgeon
Eyelid Surgery Made Me Look 15 Years Younger
I honestly can’t thank Dr. Kerner and her staff enough
Dr. Kerner does excellent, beautiful surgery
Helped me every step of the way
Comforting
Caring, compassionate and exceptionally skilled
She deserves the “Best Female Plastic Surgeon Award!”
I love my liposuction and Botox!!
My breasts are beautiful
I highly recommend Dr. Kerner
My tummy tuck and breast implants results are amazing!
GREAT Doctor, Excellent Surgeon
Absolutely Amazing
Very personable, great listener. You can’t help but feel comfortable discussing your needs and desires
Great Staff
Outstanding doctor!!!
They treat you like a VIP
My breast reduction is the best thing ever!
I would highly recommend her to anyone looking for a really good plastic surgeon
Dr. Kerner And Her Team Are True Professionals
I honestly cannot believe I was carrying that much weight around.
Kind, Caring and Does Excellent Work. We wouldn’t go anywhere else.
She has also given several excellent referrals to other specialists, and I'd trust her with absolutely any medical need I have. She has also cared for several of my family members, and we wouldn't go anywhere else.
Dr. Kerner excels in her technical and people skills
Dr. Kerner far exceeded my expectations!
The results are wonderful!
Excellent
Keep up the excellent work!
I highly recommend Dr. Kerner and her staff
I would trust her with any future cosmetic surgery I or my family may have.
Life-Changing
The best!!
Dr. Kerner is the absolute BEST in Dallas!!
“Thank you for taking such good care of me.”
Dr. Kerner is one of my most favorite doctors
Best Surgeon Around
“Dr. Kerner makes sure your surgery is SAFE”
Nose Skin Cancer Removal and Wound Repair – An Exceptional Surgeon
Glad we have great doctors like Dr. Kerner
I couldn’t be happier!
I am extremely glad I chose Dr. Kerner
My outcome has far exceeded my expectations
As smart as they come and a super surgeon
Totally awesome
One of the finest plastic surgeons in practice
Dr. Kerner has been taking care of needs for my family for years.
Dr. Kerner is the BEST of the BEST!!!
She made me feel relaxed. When I was referred to her my OBGYN, my OBGYN’s exact words were “if I could put my life in her hands, so can you. You have nothing to worry about”. That says it all.
Dr. Kerner knows her stuff!! She is a thorough surgeon, her outcome are superb! Her incisions are precise, clean, and well approximated. I cannot say enough. I’ll got her over and over again. At my 6 months follow up, she looked at a tiny surgical scar that wasn’t even noticeable and said she would revised it! That scar was alright by me! She revised it at no cost!! That’s perfection at its entirety! You won’t regret ever going to her!
Thank you Dr. Kerner for helping me get my confidence back!!
I highly recommend her to anyone seeking plastic surgery
Thank you, Dr. Kerner
Dr. Kerner exceeded my expectations
I wish I had known about Dr. Kerner much sooner
Dr. Kerner, Jennifer and all the other wonderful staff are truly a Godsend to me
God blessed me with one of his best doctors!
New boobies measured at Nordstrom, 1 month post-op
Dr. Kerner is hands down the best plastic surgeon ever.
Dr Kerner excels in both her technical and her people skills