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