Patient Forms

Dr. Capek and her staff appreciate you choosing us to begin your aesthetic journey to a new, happier you. To prepare for your upcoming consultation, please print and fill out the Patient Forms below, so we can offer minimal waiting time and get you started on your journey in an efficient manner.

We will call to confirm your appointment a few days in advance. If for any reason you’re unable to make your appointment, please call and let us know as soon as possible. Also, please feel free to contact us with any questions or concerns you may have.

Click here to download:
Patient Information Form
Patient Medical History Form
Assignment of Benefits Form

Click here for directions to our office.

Your Personalized Consultation

Our team is available 5 days a week to schedule your private consultation. Dr. Capek will meet with you at our Latham, New York office to listen to your concerns, goals, and desires. She will carefully evaluate your unique needs and then discuss, in detail, the different options available to you. The advantages, disadvantages and alternatives of each approach will be reviewed with you and any questions you may have will be answered. This initial visit is an information and planning session, which will allow you to decide if plastic surgery is right for you. We want you to feel comfortable and confident in your choice to proceed with surgery, or any other procedure we offer.

At your initial consultation, you will be given a written estimate of any applicable fees, and the opportunity to schedule your surgery, if you wish. Financing information is also available. Meet our staff and please feel free to contact us with any questions that you may have. We are committed to you throughout your treatment and long after you are healed and recovered.

We believe passionately in the importance of a personalized and positive experience during your encounters with our Latham, New York office. From scheduling your initial consultation, throughout your surgery or treatment, recovery and beyond, our team is dedicated to listening to your needs, addressing your questions and whenever possible, enhancing your quality of life.