Request An Appointment

At Balikian Facial Plastic Surgery in Temecula, California, we look forward to your visit. Our plastic surgeon has a schedule tailored for your convenience. To schedule an appointment, please call us at (951) 719-2950. Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below.

Request An Appointment

At Balikian Facial Plastic Surgery in Temecula, California, we look forward to your visit. Our plastic surgeon has a schedule tailored for your convenience. To schedule an appointment, please call us at (951) 719-2950. Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below.

Patient Forms

Our interactive forms are secure to protect your privacy. Simply complete the information and submit. As an alternative, you may download, print, and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see the doctor faster!

Interactive Forms

• Patient Registration Form
• Patient Health History

Downloadable Forms

• New Patient Registration Forms

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat free by clicking on the icon below.

If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA Guidelines, and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.

Patient Forms

Our interactive forms are secure to protect your privacy. Simply complete the information and submit. As an alternative, you may download, print, and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see the doctor faster!

Interactive Forms

• Patient Registration Form
• Patient Health History

Downloadable Forms

• New Patient Registration Forms

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat free by clicking on the icon below.

If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA Guidelines, and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.