(817) 503-2442

COLLEYVILLE'S COSMETIC SURGERY AND AESTHETIC TREATMENT CENTER

Welcome to our practice. We are thrilled to help you achieve your inner beauty. We will work with you to develop a treatment plan with which you are comfortable with and allow you to make an informed decision about your surgery.

 

Many factors need to be considered before considering surgery. We look forward to the opportunity to guide you in this process.

 

​Please note that all forms are REQUIRED when visiting your specific Doctor.

 

We appreciate you filling them out and can't wait to see you in our office soon!

 

 

• M E D S P A

     NEW PATIENT FORMS

 

 

 

• J E S S E  E.  S M I T H, M.D.

   Y A D R O  D U C I C, M.D.

      FACIAL PLASTIC &

      RECONSTRUCTIVE SURGERY

     NEW PATIENT FORMS

NEW PATIENT FORMS

 

M E D S P A

New Patient Forms

Please note that all forms are REQUIRED before your visit to our Medspa, thank you.

 

We appreciate you filling them out and can't wait to see you in our office soon!

 

 

 

Click a form to view or download:

 

 

History

 

Review of Symptoms

 

Demographics and Insurance

 

Privacy Rules (patient copy)

 

Privacy Practice & Consent to Treat

 

Photo Consent

 

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JESSE E. SMITH

& YADRO DUCIC

New Patient Forms

Please note that all forms are REQUIRED before your visit with Dr. Smith or Dr. Ducic, thank you.

 

We appreciate you filling them out and can't wait to see you in our office soon!

 

 

 

Click a form to view or download:

 

 

History

 

Review of Symptoms

 

Demographics and Insurance

 

Privacy Rules (patient copy)

 

Privacy Practice & Consent to Treat

 

Photo Consent

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OUR DOCTORS

BOARD CERTIFIED PROFESSIONALS

YADRO DUCIC, M.D.  FACIAL PLASTIC RECONSTRUCTIVE SURGERY JESSE E. SMITH, M.D. FACIAL PLASTIC RECONSTRUCTIVE SURGERY

YADRO DUCIC, M.D.

FACIAL PLASTIC

RECONSTRUCTIVE SURGERY

 

Dr. Ducic is the Director of the Center For Aesthetic Surgery & board certified in Facial Plastic and Reconstructive Surgery & Otolaryngology Head and Neck Surgery.  learn more.

JESSE E. SMITH, M.D.

FACIAL PLASTIC

RECONSTRUCTIVE SURGERY

 

Dr. Smith is board certified in Head and Neck Surgery and Board certified  in Facial Plastic and Reconstructive Surgery.  learn more.

VOTED BY THEIR PEERS AS “TOP DOCS 2015” - FORT WORTH TEXAS MAGAZINE