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 J. F. | via yelp.com R. S. | via Google Ratings M. B. | via Google Ratings K. V. | via Google Ratings D. H. | via vitals.com Patient | via ratemds.com Face Lift Patient | via vitals.com J. P. | Yelp reviews A. S. | via Yelp.com D. H. | via RateMDs.com D. H. | via Google Ratings Plastic Surgery Patient | via RateMDs.com Breast Augmentation Patient | via vitals.com Plastic Surgery Patient | via MD.com Patient | via vitals.com K. N. | via Google Ratings G. C. | via insiderpages.com Breast Reduction Plastic Surgery Patient | via RealSelf.com L. A. | via healthgrades.com Plastic Surgery Patient | via vitals.com Patient | via vitals.com M. S. | via Yelp.com Plastic Surgery Patient | via RateMDs.com Plastic Surgery Patient | via RealSelf.com B. T. | via Yelp.com J. F. | Yelp reviews L. C. | via Google Ratings Breast Reduction Plastic Surgery Patient | via RealSelf.com Patient | via ratemds.com T. W. | via Google Ratings Patient | via vitals.com L. S. | via insiderpages.com Patient | via ucomparehealthcare.com Patient | via ucomparehealthcare.com S. P., Plastic Surgery Patient | via healthgrades.com J. P. | via Google Ratings P. C. | via Google Ratings A. S. | via Google Ratings L. C. | Yelp Reviews Plastic Surgery Patient | via vitals.com J. B. | via vitals.com S. M. | via Google Ratings E. W. | via Google Ratings Patient | via vitals.com Plastic Surgery Patient | via RealSelf.com Plastic Surgery Patient | via healthgrades.com T. T. | via Google Ratings R. C. | via Yelp.com Breast Augmentation Patient | via ratemds.com M. S. | via Google Ratings Patient | via ratemds.com Plastic Surgery Patient | via RateMDs.com T. S. | via Google Ratings Patient | via ratemds.com A. R. | via Yelp.com F. S. | via Google Ratings Patient | via vitals.com L. S. | via Google Ratings L. B. | Patient via In-Office Survey Breast Augmentation Patient | via ratemds.com R. | via Google Ratings Plastic Surgery Patient | via RateMDs.com B. C., Plastic Surgery Patient | via angieslist.com Plastic Surgery Patient | via RateMDs.com B. | via healthgrades.com L. F. | Patient via In-Office Survery D. K. | Patient via In-Office Survey Plastic Surgery Patient | via RateMDs.com D. H. | via Yelp.com Breast Reduction Plastic Surgery Patient | via RealSelf.com D. H. | via Yelp.com Patient | via ratemds.com R. N. | Yelp reviews H. B. | via Google Ratings L. C. | Breast Reconstruction Patient via vitals.com Patient | via vitals.com
I would trust her with any future cosmetic surgery I or my family may have.

Glad we have great doctors like Dr. Kerner

I highly recommend Dr. Kerner

God blessed me with one of his best doctors!

I Highly Recommend Dr. Kerner for Hand Surgery – Caring Professional Staff

“Dr. Kerner makes sure your surgery is SAFE”

Keep up the excellent work!

Outstanding doctor!!!

I highly recommend her to anyone seeking plastic surgery

I honestly can’t thank Dr. Kerner and her staff enough

Dr. Kerner is an EXCEPTIONAL DOCTOR

Dr. Kerner is hands down the best plastic surgeon ever.

I would trust her with any future cosmetic surgery I or my family may have.

Terrific surgeon!

I highly recommend Dr. Kerner and her staff

Dr. Kerner excels in her technical and people skills

They treat you like a VIP

She is a perfectionist

My breast reduction is the best thing ever!

Dr. Kerner does excellent, beautiful surgery

Thrilled with the results!

I couldn’t be happier!

One of the finest plastic surgeons in practice

I am absolutely thrilled with my results

Loving my boobies and enjoyed not being remotely self conscious at the beach!!!

My outcome has far exceeded my expectations

I would highly recommend her to anyone looking for a really good plastic surgeon

Nose Skin Cancer Removal and Wound Repair – An Exceptional Surgeon

I honestly cannot believe I was carrying that much weight around.

I couldn’t have asked for a more knowledgeable and caring surgeon

Best Surgeon Around

Caring, compassionate and exceptionally skilled

The best!!

GREAT Doctor, Excellent Surgeon

Excellent

Totally awesome

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 is the absolute BEST in Dallas!!

My tummy tuck and breast implants results are amazing!

Eyelid Surgery Made Me Look 15 Years Younger

I wish I had known about Dr. Kerner much sooner

Terrific Doctor & Experience

I love my liposuction and Botox!!

I’ve been very pleased with every experience

My breasts are beautiful

I am extremely glad I chose Dr. Kerner

Dr Kerner excels in both her technical and her people skills

Nobody holds a candle to Dr. Kerner

Dr. Kerner And Her Team Are True Professionals

I would trust her with any cosmetic surgery

Dr. Kerner has been taking care of needs for my family for years.

Her work is OUTSTANDING!

Dr. Kerner far exceeded my expectations!

Dr. Kerner, Jennifer and all the other wonderful staff are truly a Godsend to me

Thank you, Dr. Kerner

We love Dr. Kerner and her staff, which are all amazing

Dr. Kerner is one of my most favorite doctors

The results are wonderful!

Dr. Kerner exceeded my expectations

Life-Changing

I would recommend her to anyone

The price was very reasonable and the results are perfect

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!!
Dr. Kerner took care of everything

Dr. Kerner’s ethics are second to none

What a great doctor and staff

Comforting

Great Staff

As smart as they come and a super surgeon

She deserves the “Best Female Plastic Surgeon Award!”

New boobies measured at Nordstrom, 1 month post-op

“Thank you for taking such good care of me.”

I would never go anywhere else

Very personable, great listener. You can’t help but feel comfortable discussing your needs and desires

Helped me every step of the way

Absolutely Amazing

I love Dr. Kerner
