Prior to your first appointment, please open and print the New Patient Packet below. If you are unable to complete the forms before your appointment, please arrive 15-20 minutes before your scheduled appointment time. Please provide thorough information so that we can provide you with the best possible care. If you have questions, please contact us at 800-909-2992.

New Patient Packet

The following forms are included in this downloadable packet:

• Personal Medical History: Provides us with a complete background of your medical history.
• Patient Photo Release: Provides us with your consent to use your photos on our website or other media for our practice. It also allows us to request information about your medical history from other doctors and to provide your medical records at the request of other doctor offices.
• Billing Policy: Outlines our standard policy on billing for our services
  

Other Information
At The Centre P.C., we want to ensure that every patient can afford the reconstructive and cosmetic surgery procedure or treatment he or she desires. That’s why we offer several different affordable payment options including ZERO percent financing. Click on this link to apply for surgery financing. You can also seek pre-approval prior to your consultation with us.

If you are not quite sure where we are located, these links provide directions to our Elkhart office and Chesterton office.

Please follow these links if you would like to view our Disclaimer or read about your HIPAA health information rights.”

Click here if you have a question regarding your procedure. The Centre, P.C. offers the latest cosmetic and reconstructive surgery procedures to patients in Elkhart and South Bend, Indiana, Michiana and the Southern Michigan area, and Chicago.

 

Elkhart Office

RiverPointe Medical Building
500 Arcade Ave., Suite 300
Elkhart, IN 46514
Phone: 574-296-9100
FAX: 574-293-1511

Mishawaka Office

611 EAST DOUGLAS ROAD, SUITE 108
MISHAWAKA, IN 46545
PHONE: 574-968-9100
FAX: 574-243-1141

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