(941) 627-5155 | 3222 Tamiami Trail Port Charlotte, FL 33952


forms and paperwork

Registration Forms

The following forms are required from every new patient that visits our office. To expedite your visit with us, you can download the forms, fill them out and bring them in with you at the time of your visit.

Patient Registration Form Download

Employment Application Forms

Fax or mail the completed application form and background check form along with your resume to us using the information provided below.

Job Application Form Download

Fax: (941) 629-5317

When it comes to enhancing your natural beauty, it's important to go the experts for the most natural looking results. Dr. Baroudi is a Board Certified Plastic Surgeon. Make sure your surgeon is qualified with the right certifications for your safety. Take just a few minutes to validate you have a Board Certified Plastic Surgeon with the American Society of Plastic Surgeons and the American Board of Plastic Surgery.
Your safety and trust are our top priorities!