Intake

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Thanks in advance for completing this health intake, which I kindly request for all patients seeking consultations with me. It will take about 5 minutes. This form is HIPAA compliant and confidential.
My Goals Are...*
Let us know your concerns here... We're listening!
Procedure*
Please select your main procedure of interest
I'd like to schedule my treatment by:
When are you looking to have this done?
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Date of Birth*

MoDayYear
Signature*

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Height and Weight:*
Are you trying to lose weight before your procedure?*
For safety reasons we do not perform general anesthesia on patients with a BMI over 32.
Do you have any children?*
How many?*
Did you have any by c-section?*
How recently did you deliver?*
It’s safest to wait 12 months after childbirth to have most procedures.
Did you breastfeed?*
How recently?*
Do you currently smoke or vape?*
Smoking can interfere with healing after surgery.
Have you had any surgeries before?*
What was it?
(type of surgery)
How recently was this?*
Do you have a history of blood clots/DVT?*
Do you have any medical issues?*
Please tell us about your medical history:*
If you take steroids, have anemia, or a history of blood clots, please let us know.
Do you take any medications?*
Please list your medications:*
You don't need to including dosing. Just the drug names, please.
Are you currently working? *
What do you do for work?*
This helps us guide you through your recovery.
Do you live in Florida?*
Are you interested in staying at our Guest House?*
How did you hear about Dr. Opp?*
Think about the first place you saw us!
If you’d be so kind, please share their name:*
Friends: the spice of life.
Do you want financing information?*
Photos are required to schedule your consult online and for in-person consults:*
Upload ID and Photo(s)

While deeply personal, photos are required for most appointments. They are necessary for any virtual consultations and allow us to formulate a treatment plan and quickly get you on the schedule.
Driver's License

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Your driver's license or other form of photo ID Cancelof
Photo 1*

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Please attach a photo that best shows your area of concern. Cancelof
Photo 2

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Additional photos help us to understand your goals. Cancelof
Photo 3

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Thank you for your trust! Cancelof
Optional Photo 1

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Photos are optional for labiaplasty consults. While helpful, this is not required. Cancelof
Optional Photo 2

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Photos are optional for labiaplasty consults. Cancelof
Because of file size and HIPAA security, photos can take up to 30 seconds to upload. Please be patient, your photos will go through securely! You can also select a smaller file size for faster uploads.
Thank you for reaching out and sharing your goals with us. We love connecting and helping women achieve their plastic surgery goals safely. We appreciate your trust and that you were considering how we could help you.

However, based on the information you shared, we would not be able to schedule you for a surgery consultation with Dr. Oppenheimer. He is very conservative when it comes to patient safety and outcomes. For that reason he does not perform surgery requiring general anesthesia in patients over the age of 55 at our office-based surgery center.

We realize that this is very limiting and that you may be in perfect health. We have no doubt that you will be able to achieve your plastic surgery goals; you may want to seek out a surgeon who practices at an outpatient surgery center or hospital-based surgical facility.

Thank you again for your trust and your understanding of Dr. Oppenheimer’s preferences for medical care. Please reach out to us for any further discussion on this. We are here for you and you can reach us at: 407-377-7714
Thank you for reaching out and sharing your goals with us! We love connecting and helping women achieve their plastic surgery goals safely. We appreciate your trust and that you were considering how we could help you.

Based on the information you shared, we are not yet able to schedule you for a consultation. Patients with a BMI greater than 32 are at increased risk of dangerous surgical complications. We always prioritize the health and well-being of our patients first, which is why our practice has a BMI requirement of 32 or below.

Some practices may be comfortable with a lower threshold. Every surgeon is different with their thresholds for care. We like to inform anyone considering plastic surgery that a BMI requirement less than 32 is not only safest, it is also recommended for optimal results. When your BMI is greater than 32, you often have more "visceral" fat. Visceral fat cannot be removed with liposuction or a tummy tuck because it is underneath your abdominal muscle, near your organs. Plastic surgery is only able to improve the "subcutaneous" fat found above the abdominal muscles.

If your BMI is close to 32 and you are trying to lose weight, we can schedule your consultation as soon as you are within 15 pounds of your goal weight. One reason Dr. Oppenheimer has such great results is because he is patient and never rushes treatment planning. During your consultation, he listens to your goals, evaluates your current physique, and shares his recommendations for treatment. The closer you are to your goal weight, the more precisely he can plan your surgery.

We support healthy lifestyles and body-image. If your BMI is greater than 32, we respect that you may not need or want to lose weight. We also understand that some women struggle with their weight loss goals. If you would like to reach out to our office we'd be happy to give you more information on your options. We are here for you and you can reach us at: 407-377-7714
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Next Steps…

Upload ID and Photo(s)