Follow the steps to complete your consult packet effectively.

1. Click the ‘Get Form’ button to obtain the form and open it for online completion.
2. Start by entering your personal information, including your name, address, and contact numbers. Make sure to provide a valid email for future communications.
3. Fill in demographic details such as your date of birth, age, and gender by selecting the appropriate options.
4. Provide information about your occupation and any children you may have, including their names and ages.
5. Indicate your hobbies and the name of your insurance company. You can also provide a work phone number if you are comfortable with it.
6. List an emergency contact along with their relationship to you and phone number. Choose whether they can be contacted for scheduling questions.
7. Enter the name and phone number of your primary care physician, as well as how you were referred to Dr. Gorin.
8. Specify your preferred method of communication for updates regarding your medical information and appointments.
9. Review the medical history section carefully. Check all health conditions that apply to you and provide additional details where necessary.
10. Fill out the previous surgeries and medications section accurately, including any allergies and reactions.
11. For the body contouring questionnaire, provide details about your physical history, weight, pregnancies, and any relevant medical history.
12. Complete the appointment reminder authorization, providing your name, signature, and date.
13. Read and acknowledge the receipt of notice of privacy practices by signing and dating the form.
14. Finally, review all entered information for accuracy, then save your changes. You can download, print, or share the form as needed.

Begin filling out your consult packet online now to take the first step towards your procedure!