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