VIRTUAL CONSULT

VIRTUAL CONSULTATION

Please download the Patient Registration Form below, and fill out the form.  Submit the filled registration form,a copy of your Identification Card (Driver's License or Passport) and Photographs via email at info@delacruzplasticsurgery.com.​

  1.  Patient Registration Form

  2. Photograph Submission Instruction for Patients

  3.  HIPAA Privacy Policy

Please send us your information to set up a virtual consultation.