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- FormsBelow are forms you can download and print: Patient Registration Form For your convenience, you can download and print the patient registration form to save a bit of time before arriving for your procedure. » Download: Patient Registration Form (.pdf/127K)
- ContactGregory J. Liebscher, M.D., F.A.C.S. Plastic and Reconstructive Surgery Ascent Surgery Center 5901 Corporate Drive Colorado Springs, CO 80919 Ph: 719-634-2503 Fax: 719-634-2686 Google: Maps & Directions – – Patient Registration Form For your convenience, you can download and print the patient registration form to save a bit of time before arriving for your procedure. » Download: Patient Registration Form (.pdf/127K) – – Contact Us by Email Complete the online form below to contact us by email. Your information is safeguarded by Dr. Liebscher and his staff, however, this is not a secure email communication channel. Please do not submit private or confidential patient information. [contact-form 1 "Contact form 1"] – -
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