New Patient Forms (Affordable Plastic Surgery)

We offer the BEST PRICES IN PLASTIC SURGERY Apply now on line and receive INSTANT APPROVAL for qualified applicants. REAL SELF TOP DOCTOR- Board Certified Plastic Surgeon, James R. Benjamin, MD and his caring staff, Welcome you to our plastic surgery practice in Bowie, Maryland. click here to receive more information on plastic surgery discounts.

Please complete the forms below.
Print and bring them in with you to your appointment.
Or email your completed forms to:

New Patient Forms

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We Offer Many Options To Make Your Plastic Surgery More Affordable. Ask Us About Financial Help.
Please click here for to learn more about our many plastic surgery payment plan options.

Pre – Post Op Forms

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