Patient Information

We look forward to meeting and taking care of you and your child! Our experienced and qualified staff will answer all your questions and provide personalized service.

When calling for an appointment, please have the following information available:

• Name of Patient
• Date of Birth
• Address
• Phone Number
• Name of Insurance
• ID Number
• Group Number
• Insured’s Name (i.e. who holds the insurance)
• Insured’s Date of Birth

At the time of your first appointment, please bring a copy of your insurance card and driver’s license.

Cancellation Policy

We understand that your schedule may change and that emergencies arise. If you are unable to keep your appointment, we ask that you provide us with 24-hour notice. Please extend us this courtesy so that other patients may be seen.

Forms

• Pediatric Plastic and Reconstructive Surgery Referral Request Form (Form 33659, Rev 8/23)

Practice Spotlights

Getting to Know You - ETCH Pediatric Plastic Surgery Specialty Presentation