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Patient Registration

At Bancroft Feldman Plastic Surgery we utilize a paperless all electronic medical record. Help us expedite your care, reduce paper waste and increase patient safety by utilizing our web portal to fill out your demographics and medical information prior to your visit. It automatically populates our EMR, is secure and HIPAA compliant.


If you are a new, or existing, patient please click this link to fill out, or update, demographic and medical information before your appointment. The required security code was included in the new patient email you've already received.

*Please note this system was updated 5/15/2018, so all prior login data has been deleted. Existing patients please contact [email protected] for a new security code, then create a new login