Columbia, SC

LPS_New_Patients

New Patients

The journey to a new you begins here.
To set up your first appointment, contact our office or request a consultation. Our friendly staff will take every consideration to ensure your privacy and comfort and will gladly answer any questions you may have about our treatment offerings or what to expect with each procedure.

Medical Forms

Please complete the forms below and bring them to your initial consultation. This will save time and ensure Dr. Lefkowitz has a complete picture of your health history and personal goals for your treatment.

Patient Information

Please tell us about yourself, your family, and any emergency contacts you may want us to use.

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Patient History

Having a complete health history will assist Dr. Lefkowitz in recommending the best treatment plan to achieve the results you desire.

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Privacy Practices

We comply with all state and federal medical privacy regulations, including HIPPA. Read our complete privacy practice for in-depth information about these policies.

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Acknowledgment of Privacy Practices

Please complete this form acknowledging your understanding of our office’s compliance with all state and federal medical privacy standards.

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Verbal Release of Health Records

You must complete this form in order for your records to be made available to anyone other than yourself.

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Pharmacy Electronic Health Records Form

In compliance with the Affordable Health Care Act of 2010, we can send prescriptions to your pharmacy electronically. All controlled substances must still be prescribed in the traditional paper format and be picked up from our office.

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ASAPS

FACS

SESPRS

American Society of Plastic Surgeons

ABMS

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