Belly Button Surgery

Patient Forms

Conveniently located to serve the Coachella Valley.

Patient Forms

Conveniently located to serve the Coachella Valley.

smiling young woman

PATIENT FORMS

By filling out your patient forms online, you can expedite your initial consultation process and save time at your first appointment. Eko Plastic Surgery welcomes patients from the cities of Palm Springs, Rancho Mirage, Palm Desert, Indian Wells, La Quinta, Indio, Cathedral City and other surrounding cities.

Download Patient Forms

In an effort to make your experience at our office as efficient and pleasant as possible, we have provided electronic versions of our new patient intake forms below. These may be completed at home prior to your scheduled appointment and either forwarded to us by email or printed out and brought with you to our office at the time of your appointment. We hope you find this option convenient. Of course, you may also complete these forms at our office at the time of your appointment.

Thank you for considering Eko Plastic Surgery and we look forward to welcoming you to our office soon.

Please download the form and fill out electronically to submit directly to our office.

Contact Us

If you are ready to schedule your initial consultation at Eko Plastic Surgery, please contact us today. We are proud to serve the residents of Palm Springs, Rancho Mirage, Palm Desert, Indian Wells, La Quinta, Indio, Cathedral City and other surrounding cities.

Testimonials

happy older woman
two circles with an image of a young woman before and after facial treatment in one circle; and Dr. Eko in another circle

Before + After
Gallery

Our cosmetic surgery before and after galleries showcase some of the real, authentic results that Dr. Eko has achieved on actual patients. Please take a few minutes to peruse our images and see the results for yourself. Viewer discretion is advised.