For your convenience, we have added all needed paperwork in one location as PDF files for download.
All documents can be viewed with Adobe Reader or compatible software. Please print forms, fill out, sign and date. Fax, mail or email your completed forms.
|FTM Surgery Application
Please download this form if you want to apply for surgery, and are either paying out of pocket, or submitting insurance at a later date. Print, fill out and sign. Submit with a check or money order of the deposit.
|FTM Pre-Auth Packet
Use this packet to apply for surgery and request a pre-authorization be done. Please submit with all of the required documents and a check or money order for the deposit.