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The PatientInsure program is available to Cosmetic Surgeons who are certified by the American Board of Medical Specialties or the American Board of Oral and Maxillofacial Surgery with a Medical Degree. Candidates for the PatientInsure program must also be a Fellow member of the American Academy of Cosmetic Surgery (AACS).

A short PatientInsure Questionnaire must be completed and returned to us by mail or fax to begin processing your application. Please select the link below to complete your PatientInsure Questionnaire today.

PatientInsure Questionnaire (PDF)

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