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Please note: We cannot process emergency requests through this form. If you are experiencing a medical emergency, please call 9-1-1.

Cleveland Clinic Cosmetic & Plastic Surgery Center brings you the expertise of 22 highly experienced, board-certified surgeons at nine convenient locations throughout Northeast Ohio.

To schedule a consultation, please fill out the form below or call the Cosmetic & Plastic Surgery Center at 216.444.4004 (toll-free 800.223.2273 Ext. 44004) business days, 8:30 a.m. – 4:30 p.m. (EST).

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Patient Information:

The person who will be seeing the physician.

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Appointment Details:
  2. Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.) 500 characters maximum.

  3. Preferred day of the week / date / time of day or first available.

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    We cannot guarantee exact scheduling, but we will do our best to accommodate the patient's wishes.

Requestor Information:

The person completing this form.



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