Patient Forms

Patient Forms

At Fox Valley Plastic Surgery, we want to make sure that we have all the necessary information about you before we begin any treatments.

In order to hasten the patient intake process for patients from Appleton, Green Bay, Oshkosh and the Fox Cities, we encourage you to download and complete the necessary forms in advance of your appointment.  Click on the form, and a pdf version of the paperwork will appear.  If you need Adobe Reader, please click here.  Please print the forms on your printer.

After you complete the forms, you can fax the forms back to us at 414-386-4625, mail them to us, or bring them to your appointment.

Check In Documents



Vein Pre and Post Op Information Sheets

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Oshkosh, WI (920) 233-1540

Oshkosh Location

Oshkosh Location
  • Fox Valley Plastic Surgery
  • 2400 Witzel Avenue, Suite A
  • Oshkosh, WI 54904
  • (920) 233-1540
Get Directions
  • Monday: 8 a.m.–3:30 p.m.
  • Tuesday: 8 a.m.–5 p.m.
  • Wednesday: 8 a.m.–5 p.m.
  • Thursday: 8 a.m.–3:30 p.m.
  • Friday: 8 a.m.–12 p.m.

Appleton Location

Appleton Location
  • Fox Valley Plastic Surgery
  • 2500 East Capitol Drive #1500
  • Appleton, WI 54911
  • (920) 358-1810
Get Directions
  • Monday–Thursday: 9 a.m.–4 p.m.
  • Friday: 8 a.m.–12 p.m.

Wisconsin plastic surgeons Drs. David Janssen and William Doubek perform breast augmentation, breast lift, laser hair removal, vein treatment, face lift, tummy tuck (abdominoplasty) and liposuction. They serve Wisconsin communities including Oshkosh, Appleton, Milwaukee, Green Bay, Madison, Fond du Lac and Neenah.

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