Registration Forms

Welcome to our patient portal! Patients visiting Primera for the first time can access electronic forms by clicking on the New Patients button below. You will need a security code, obtained from our office, to access the patient portal. Upon scheduling your consultation for facial cosmetic surgery at our Orlando area practice, the security code will be e-mailed to you. If you are having trouble or have not received your security code, please call our office at (407) 392-9384 and one of our staff will be happy to assist you.

Existing Patients may log in to our secure patient portal by clicking on the Existing Patients button below.

Forms may also be downloaded and completed by hand by clicking the Print Forms button. These must be completed prior to Consultation.