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Patient Forms & Information
Belmont Aesthetic & Reconstructive Plastic Surgery

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Patient Forms

Dear Valued Patients,

We have exciting news! Belmont is enhancing your patient experience by introducing the Symplast Software Platform to our practice. Symplast is a modern, practice management software system that changes how practices care for you - our patients.

Moving forward, you will now have access to the Symplast Patient Application (App) on your phone, and other features on the devices within our office. Below are just a few of the benefits this new App offers:

  • View your upcoming and past appointments on the Patient App,
  • Receive and complete your patient intake forms, easily from your phone or through a secure email link,
  • Receive, view, download, and approve estimates, with the ability to sign them from your phone,
  • Receive and view invoices, along with any edits, payments, credits, and receipts in the Patient App,
  • Communicate securely and directly with our office, and specific teams, from within the Patient App,
  • Sign consents on an iPad in the office during your visit,
  • View any media, before and after photos, and treatment plans, while in the office or from the Patient App,
  • Receive access to your Medical Notes, Legal Forms, and other Medical Documents within the Patient App,
  • And so much more!

In preparation for this exciting transition, you are more than welcome to contact our practice to request the App invitation. You will need to confirm your mobile number and date of birth, so our team can text you the invitation with activation code (good for 24 hours). Also, the Symplast Patient App uses your device's latest technology and operating system, to keep you and your medical information safe. If your phone is not up to date, you may be unable to download and/or access the application, so update prior to requesting your invitation.

Thank you for your time in advance, and we look forward to enhancing your experience here at Belmont!

Warm regards,

The Belmont Plastic Surgery Team

Download our Patient App: Symplast!

This powerful app will give you 24/7 access to:

  • manage your appointments
  • see your accounts and get digital receipts
  • stay on top of your treatment plans
  • communicate with staff
  • access your before and after photos and other helpful items
  • and so much more!
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Step 1: Download the App Via Your App Store

Download the Symplast Patient App from your Apple or Android app store, which has a white background. Make sure to allow the app to use your camera feature.

Step 2: Follow the Prompts to Register

  • If you received an invite from us via text, use the code from your text.
  • If you haven't received an invite yet, choose Legacy Registration.
  • Find LaserSpa of Tampa Bay and then enter the requested information.

Step 3: Enter the registration code and set up your password

  • You'll be texted a registration code to enter and verify your phone number
  • Next you'll be prompted to create a password. Choose one you'll remember, of course!

Step 4: Open the App & Start Exploring

Once inside the patient app you can view estimates & invoices; send a HIPAA secure text message; view documents and send/receive photos, and see all of your upcoming appointments.

Pricing

Belmont reserves the right to modify, discontinue, or raise prices on certain treatments without prior notification to ensure that maximum standards of service and quality are met. If you have any questions, please ask our Aesthetic Representative when you book your appointment.

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Schedule your consultation today

The surgeons at Belmont Plastic Surgery are here to help you take the next step on your aesthetic journey. Whether you want to restore what has been lost or improve upon what you already have, our surgeons will help you make the best possible choices for your care and deliver excellent results. Every day is an opportunity to live a more beautiful life. Seize your opportunity today with a consultation at Belmont Plastic Surgery.

5530 Wisconsin Ave, Suite 818, Chevy Chase MD 20815

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