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BY COSMETIC SURGEON
CHRISTOPHER MONDELLO, D.O., MBA

Mondello Medical Spa

863-422-LIPO(5476)

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Patient Forms

Below are copies of the different forms available for our patients. We request you fill them in with your information, print them and bring them with you to your appointment. These forms require Adobe PDF Reader to view them.

 

  • New Patient History Form
  • Consent for Treatment Form
  • History and Physical for HGC Treatment Form
  • Patient Consultation Form
  • Smart Lipo® Pre-Operative Notes Form
  • ABC Diet Outline

 

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Before & After

Curious about our procedures? Head on over to our procedures page to learn more about what we do.
Take a look through our before and after photos to see results on real clients.
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28149 US Highway 27, Dundee, FL, 33838 | 863-422-LIPO (5476)
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