Call for an appointment: 
Fort Wayne, IN (260) 490-4673
 
Prior to your first appointment, please print the New Patient forms below.  If you are unable to print them, you may arrive 15-20 minutes before your scheduled appointment time and complete them in the office.  Please provide thorough information so that we can provide you with the best possible care.

 

 

New Patient Forms - Adult.pdf

Please complete this form for all patients over the age of 12.

 

 

New Patient Forms - Pediatric.pdf

Please complete this form for all children 12 years and younger.

 

 

Map.pdf

 

 

 


Plastic Surgery Innovations

10215 Auburn Park Drive, Suite B

Fort Wayne, IN 46825

Phone: (260) 490-HOPE

Toll Free: (877) 565-2527