Patient Forms

At The Orange County Center for Facial Plastic Surgery, we are committed to making your visit as pleasant and efficient as possible. For your convenience, we have provided these patient information forms online for you to complete in advance of your appointment. Your time is important to us so please let us know when scheduling your consultation, if you plan to fill out these forms before your appointment.  We need to take this timing information into account when booking your appointment because our default is to allot time to fill out these forms during your appointment.

Follow the links below to view, download, and print the patient registration application and the health survey, which you should bring to your initial consultation with Dr. Ali Sepehr. If you are considering our laser resurfacing procedure or botox/filler treatments, please review the forms specific to those respective treatments. In addition, we offer information we feel is particularly important to you, including our privacy terms and photo consent forms.

If you have questions about these forms or wish to schedule a consultation, please contact us today.


Surgical Consultations

Botox and Filler Consultations