Patient Forms

For your convenience, the following forms have been made available to you online.

Acknowledgement of Receipt of Notice
Medical History
Patient Financial Policy
Photo Consent
Registration
New Cosmetic Patient Consultation Questionaire
New Patient Work Comp Form
Aspirin Sheet
HIPAA Notice of Privacy Practices
HIPPA Notification of New Privacy Regulations - Addendum

We accept Visa, American Express
and Mastercard.

Paul W. Loewenstein, M.D.

20320 W Greenfield Ave.
Brookfield, WI 53045

Phone 262.782.7021

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Dr. Loewenstein is proud to serve cosmetic surgery patients throughout Wisconsin. Over the years, he has helped numerous mommy makeover, liposuction and facelift Milwaukee patients meet and exceed their aesthetic goals.

HIPAA Notice of Privacy