Patient Gallery Athena Plastic Surgery

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Welcome to Athena Plastic Surgery. Dr. Avron Lipschitz is a board-certified plastic surgeon serving the Treasure Coast. Thank you for choosing us for your plastic surgery needs. We kindly ask that you fill out our patient information and medical history sheet to help us better serve you and maintain our records.

Patient Info

(this allows us to send you appointment reminders and specials)

Insurance Information

Reason for Consult

If none, please enter "none"

If none, please enter "none'

Past Surgical History

Medical History

Past/Current Medical History (check all that apply)





































Do you currently have any of the following? (check all that apply)













Family History (please list the relationship to the affected family member)(Required)









Females: (if applicable)

Past Anesthesia History

Are you interested in learning more about any of the following:














How did you hear about us?