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