'

.gform-theme--foundation .gform_card_icon_container .gform_card_icon.gform_card_icon_selected::after{--wpr-bg-f2b60e6f-b309-478d-87e0-fb3206f13162: url('https://illumecosmeticsurgery.com/wp-content/plugins/gravityforms/images/gf-creditcards-check.svg');}div.wpcr3_rating_style1_base{--wpr-bg-94e8dec7-3a12-4f92-8faf-2c97745f9bb6: url('https://illumecosmeticsurgery.com/wp-content/plugins/wp-customer-reviews/css/newstars.png');}div.wpcr3_rating_style1_average{--wpr-bg-bb1495de-fe2a-4dfd-8c7c-f9b6d1239678: url('https://illumecosmeticsurgery.com/wp-content/plugins/wp-customer-reviews/css/newstars.png');}div.wpcr3_rating_style1_score{--wpr-bg-0f527d12-6b92-4e97-9c10-c3940aba716d: url('https://illumecosmeticsurgery.com/wp-content/plugins/wp-customer-reviews/css/newstars.png');}div.wpcr3_rating_style1_score div:hover{--wpr-bg-44cbcf81-7496-4bb8-8d97-ef035f3492e3: url('https://illumecosmeticsurgery.com/wp-content/plugins/wp-customer-reviews/css/newstars.png');}.woocommerce .blockUI.blockOverlay::before{--wpr-bg-52853065-b88a-4152-b5b5-6e36f57be165: url('https://illumecosmeticsurgery.com/wp-content/plugins/woocommerce/assets/images/icons/loader.svg');}.et_pb_preload:before{--wpr-bg-9070f1cc-86b2-48de-9aa3-69c6b1641c19: url('https://illumecosmeticsurgery.com/wp-content/themes/Divi/includes/builder/styles/images/preloader.gif');}.et_subscribe_loader{--wpr-bg-8caa5c34-38f2-4483-b98f-868bd41e59a9: url('https://illumecosmeticsurgery.com/wp-content/themes/Divi/includes/builder/styles/images/subscribe-loader.gif');}.gform-theme--foundation.ui-datepicker .ui-datepicker-next::before,.gform-theme--foundation.ui-datepicker .ui-datepicker-prev::before{--wpr-bg-d7c79867-3ca9-4a44-a7da-9051963d1d5a: url('https://illumecosmeticsurgery.com/wp-content/plugins/gravityforms/images/theme/down-arrow.svg');}.gform-theme--foundation.ui-datepicker select.ui-datepicker-month,.gform-theme--foundation.ui-datepicker select.ui-datepicker-year{--wpr-bg-72664fc9-8762-4e3b-86fd-4fb3aacd0f86: url('https://illumecosmeticsurgery.com/wp-content/plugins/gravityforms/images/theme/down-arrow.svg');}.gform-theme--foundation .gform_card_icon_container .gform_card_icon{--wpr-bg-3c1f89d6-ea07-42a4-90a3-7a26ebca5ac6: url('https://illumecosmeticsurgery.com/wp-content/plugins/gravityforms/images/gf-creditcards.svg');}.mobile-menu .menu-item-has-children a:after{--wpr-bg-35f33560-295a-4108-9c61-b6e5c06bc870: url('https://illumecosmeticsurgery.com/wp-content/themes/Divi-child/assets/arrow.png');}.dsm_flipbox_child_0{--wpr-bg-332a8fed-a3bd-42d8-8cfe-f3b4b18f593c: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/09/face-e1695061195246.webp');}.dsm_flipbox_child_2{--wpr-bg-9a91e614-ae38-4025-9d3d-92819b6213fb: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/09/Body-header-scaled-1.webp');}.dsm_flipbox_child_4{--wpr-bg-898792ec-0889-4c18-8694-fbad18083c7b: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/09/Breast-Header-new.webp');}.dsm_flipbox_child_6{--wpr-bg-96050264-aed2-491d-aa29-4b2e92af0690: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/03/iStock-1364389436-1080x675-1.jpg');}.dsm_flipbox_child_8{--wpr-bg-3d2f57f8-eada-446b-acfe-20a9a49db3ca: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/09/Mens-Treatments-scaled-1.webp');}.et_pb_column_13{--wpr-bg-55bfd495-782f-450c-83a1-7d7bb4f4fd9e: url('https://illumecosmeticsurgery.com/wp-content/uploads/2023/11/iStock-1467969210-1-1.jpg');}

Patient Forms

For our patients convenience you can download patient forms in advance to help expedite your visit and minimize your waiting time. Click on the form thumbnails below to open and download the form. We look forward to serving you.

PATIENT INFORMATION

MEDICAL HISTORY

PERMISSION FOR PHOTOGRAPHY

NOTICE OF PRIVACY PRACTICES

Face

Body

Breasts

MedSpa

Men

REQUEST A CONSULTATION

Ready to say hello to a more confident, beautiful you?

Our expert team is here to help! Fill out the form to get started.

Call or Text: (414) 439-3000

Have a question? Check out our FAQ's

Franklin, WI

2826 W. Rawson Ave,
Franklin, WI 53132
Weekdays: 9:00 am – 5:00 pm
Wednesday Evenings: 7:00 pm

Milwaukee, WI

6002 North Port Washington Rd.
Milwaukee, WI 53217
Weekdays: 9:00 am – 5:00 pm
Thursday Evenings: 7:00 pm

Waukesha, WI

N4W22370 Bluemound Road
Waukesha, WI 53186
Weekdays: 9:00 am – 5:00 pm
Tuesday Evenings: 7:00 pm