Dr. Han
Information

 

 



Liberty Township
(513) 755-8115
6770 Cinti-Dayton Rd. Ste. 200
Liberty Township, Ohio 45044

directions

Middletown
(513) 423-7338
235 N. Briel Blvd.
Middletown, Ohio 45042
directions

Ask the Doctor/Contact us
Forms

  In order to serve you better we now provide consent and information forms online.
  Reading them thoroughly and filling them out before coming in for your appointment will reduce   your waiting time in the office and better prepare you for your consultation.

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  Please fill out these three forms before you come in to the office as well as the appropriate   informed-consent form for your surgery.

  New Patient Welcome Form

  New Patient Questionnaire

  New Patient Privacy Insurance

  Informed-consent forms:

  Abdominoplasty Informed-Consent Form

  Blepharoplasty Informed-Consent Form

  BOTOX® Consent Form

  Brachioplasty Informed-Consent Form

  Browlift Informed-Consent Form

  Implant Removal Informed-Consent Form

  Lipectomy Informed-Consent Form

  Mammaplasty Informed-Consent Form

  Mastopexy Informed-Consent Form

  Open Capsulectomy Informed-Consent Form

  Otoplasty Informed-Consent Form

  Reduction Mammaplasty Informed-Consent Form

  Rhinoplasty Informed-Consent Form

  Rhytidectomy Informed-Consent Form

  Thighoplasty Informed-Consent Form

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(513) 755-8115 • 6770 Cincinnati Dayton Road, Liberty Township, OH 45044  |   (513) 423-7338 • 235 N. Breiel Blvd, Middletown, OH 45042
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