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
New Patient | RateMDs.com Plastic Surgery Patient | via RateMDs.com Patient | via ratemds.com J. F. | Yelp reviews L. A. | via healthgrades.com M. B. | via Google Ratings J. F. | via yelp.com Plastic Surgery Patient | via RateMDs.com Plastic Surgery Patient | via RateMDs.com F. S. | via Google Ratings R. S. | via Google Ratings J. P. | Yelp reviews R. C. | via Yelp.com Patient | via ratemds.com Plastic Surgery Patient | via RealSelf.com Patient | via vitals.com Breast Augmentation Patient | via ratemds.com Breast Augmentation Patient | via vitals.com T. S. | via Google Ratings G. C. | via insiderpages.com D. H. | via Yelp.com L. C. | Breast Reconstruction Patient via vitals.com D. K. | Patient via In-Office Survey Patient | via vitals.com L. S. | via insiderpages.com D. H. | via Yelp.com Face Lift Patient | via vitals.com D. H. | via vitals.com Plastic Surgery Patient | via healthgrades.com Plastic Surgery Patient | via RealSelf.com T. T. | via Google Ratings Patient | via vitals.com Plastic Surgery Patient | via RateMDs.com Patient | via vitals.com Plastic Surgery Patient | via vitals.com M. S. | via Google Ratings R. N. | Yelp reviews S. P., Plastic Surgery Patient | via healthgrades.com S. M. | via Google Ratings T. W. | via Google Ratings E. W. | via Google Ratings L. B. | Patient via In-Office Survey H. B. | via Google Ratings Breast Reduction Plastic Surgery Patient | via RealSelf.com Plastic Surgery Patient | via RateMDs.com Patient | via ratemds.com R. | via Google Ratings A. S. | via Google Ratings D. H. | via RateMDs.com Patient | via ucomparehealthcare.com Patient | via ratemds.com B. T. | via Yelp.com K. N. | via Google Ratings Plastic Surgery Patient | via vitals.com B. C., Plastic Surgery Patient | via angieslist.com Breast Reduction Plastic Surgery Patient | via RealSelf.com L. F. | Patient via In-Office Survery L. C. | Yelp Reviews Breast Reduction Plastic Surgery Patient | via RealSelf.com Patient | via ucomparehealthcare.com Patient | via vitals.com K. V. | via Google Ratings D. H. | via Google Ratings Patient | via vitals.com M. S. | via Yelp.com Plastic Surgery Patient | via RateMDs.com Breast Augmentation Patient | via ratemds.com J. P. | via Google Ratings L. C. | via Google Ratings L. S. | via Google Ratings P. C. | via Google Ratings A. R. | via Yelp.com A. S. | via Yelp.com B. | via healthgrades.com J. B. | via vitals.com Patient | via ratemds.com Plastic Surgery Patient | via MD.com
I would trust her with any future cosmetic surgery I or my family may have.
I would trust her with any future cosmetic surgery I or my family may have.
Keep up the excellent work!
I would highly recommend her to anyone looking for a really good plastic surgeon
Dr. Kerner does excellent, beautiful surgery
God blessed me with one of his best doctors!
Glad we have great doctors like Dr. Kerner
Dr. Kerner far exceeded my expectations!
Dr. Kerner’s ethics are second to none
Dr. Kerner is one of my most favorite doctors
I highly recommend Dr. Kerner
I highly recommend her to anyone seeking plastic surgery
Dr. Kerner And Her Team Are True Professionals
Her work is OUTSTANDING!
I am extremely glad I chose Dr. Kerner
My breasts are beautiful
I would recommend her to anyone
Terrific surgeon!
Dr. Kerner, Jennifer and all the other wonderful staff are truly a Godsend to me
She is a perfectionist
She deserves the “Best Female Plastic Surgeon Award!”
Absolutely Amazing
Great Staff
I couldn’t be happier!
The best!!
“Thank you for taking such good care of me.”
Outstanding doctor!!!
“Dr. Kerner makes sure your surgery is SAFE”
Dr Kerner excels in both her technical and her people skills
Loving my boobies and enjoyed not being remotely self conscious at the beach!!!
Nobody holds a candle to Dr. Kerner
The results are wonderful!
As smart as they come and a super surgeon
Dr. Kerner excels in her technical and people skills
I wish I had known about Dr. Kerner much sooner
Dr. Kerner has been taking care of needs for my family for years.
Very personable, great listener. You can’t help but feel comfortable discussing your needs and desires
Totally awesome
I love my liposuction and Botox!!
Best Surgeon Around
I’ve been very pleased with every experience
Life-Changing
Helped me every step of the way
New boobies measured at Nordstrom, 1 month post-op
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 would never go anywhere else
The price was very reasonable and the results are perfect
My tummy tuck and breast implants results are amazing!
Dr. Kerner is an EXCEPTIONAL DOCTOR
GREAT Doctor, Excellent Surgeon
Thank you, Dr. Kerner
My outcome has far exceeded my expectations
They treat you like a VIP
Thrilled with the results!
Dr. Kerner took care of everything
I honestly cannot believe I was carrying that much weight around.
Comforting
Eyelid Surgery Made Me Look 15 Years Younger
My breast reduction is the best thing ever!
Excellent
I love Dr. Kerner
I Highly Recommend Dr. Kerner for Hand Surgery – Caring Professional Staff
Dr. Kerner is hands down the best plastic surgeon ever.
Caring, compassionate and exceptionally skilled
One of the finest plastic surgeons in practice
I am absolutely thrilled with my results
I would trust her with any cosmetic surgery
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.
Nose Skin Cancer Removal and Wound Repair – An Exceptional Surgeon
Dr. Kerner exceeded my expectations
Dr. Kerner is the absolute BEST in Dallas!!
We love Dr. Kerner and her staff, which are all amazing
I honestly can’t thank Dr. Kerner and her staff enough
What a great doctor and staff
Terrific Doctor & Experience
I couldn’t have asked for a more knowledgeable and caring surgeon
I highly recommend Dr. Kerner and her staff
