MyLVHN -

Choosing to undergo a procedure or surgery can be a big decision. Our plastic and cosmetic surgery experts within the Lehigh Valley Institute for Surgical Excellence can help you feel more comfortable and confident in your decision. Obtaining more information during a second opinion will help ensure the best possible results from your procedure.

We'll meet with you to:

Explore all treatment options, including treatments or procedures that may not be widely available
Discuss what treatment or care plan is the best fit for you
Ensure you're confident in the approach and expertise of your care team

After completing the form below, a team member will call you to setup an appointment with one of our specialists.

Your Contact Information

First Name:

Last Name:

Date of Birth:

Phone:

Address:

City:

State:

Zip Code:

Email Address:

Second Opinion Questionnaire

As a reminder, second opinion appointments are only for those who are not current patients of these practices. If you are a current patient and you have any questions about your care, including your diagnosis or treatment option, your care team will be happy to discuss them with you.

Which healthcare organization did you consult with about the procedure you are looking to have done?

If other, please specify:

Are you already a patient of LVPG Plastic Surgery?

Yes

What procedure would you like a second opinion for?

Is there a specific question you have about the procedure you are looking to have done?

Request a Second Opinion Appointment for Plastic Surgery