Patient Forms

Thank you for choosing our office. As a convenience to our patients, we have made these forms available online so you can print them and fill out the necessary information at home. Please bring completed forms with you to your next appointment. Call the Receptionist at 480-890-0600 to confirm which forms you need.

You will need Adobe Acrobat Reader in order to access these forms.


  1. Patient Information Form
  2. Pre-Consultation Form
  3. Pre-Operative History Form (3 pages)
  4. Financial Policy
  5. Permission for Photography
  6. Health Information Consent
  7. Breast Surgery History Form
  8. Eyelid Surgery Questionnaire
  9. Breast Implant Illness Patient/Explant
  10. HIPAA

Contact Us Today

Dr. Spies is certified by the American Board of Plastic Surgery and highly experienced in breast lift surgery for over 35 years. If interested in undergoing this procedure, please feel free to call 480-359-1019 to schedule a consultation.

Office Facade

Verified Realself

Dr. Spies' office is located in Paradise Valley, Arizona, adjacent to the Paradise Valley Cosmetic Surgery Center.

Robert J. Spies, M.D.
5410 N Scottsdale Rd C 100
Paradise Valley, AZ 85253
Tel: 480-359-1019