Name: Tampa Bay Cosmetic Surgery Center
Telephone: +1-(727) 522-3223
Price range: $$

Please list the family members of other persons (and their relationship to you), if any, whom we may inform about your general medical condition and your diagnosis, including treatment, payment, and health care operations
Please list the family members or significant others, if any, whom we should inform about your medical condition, IN THE EVENT OF AN EMERGENCY*
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Please indicate if you want ALL correspondence from our office sent in a sealed envelope marked “CONFIDENTIAL.”*
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Please print the telephone number where you want to receive calls about your appointments, lab results, or other health care information if other than your home phone number.
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Can confidential messages (i.e., appointment reminders) be left on your telephone answering machine or voicemail?*
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Our goal is for you to leave our office with a memorable and enjoyable experience, which is why our welcoming and compassionate staff will do everything they can to make you feel right at home.

(727) 522-3223
St. Petersburg Office

6025 4th Street North
St. Petersburg, Florida 33703-1419
Clearwater Office

1811 N Belcher Road, Suite H-1
Clearwater, Florida 33765

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