Virtual Consultation Print & Mail Form

Step 1 - Downloading New Patient Forms
To begin the process, download the New Patient Forms (PDF). You need to download and complete all three pages. They can be printed, filled in by hand and mailed or faxed. Click here (link to new form) to use our online form submission to fill out the forms. You will need to have Adobe Acrobat Reader installed on your computer to view these PDF forms. The application is free, click on the link below to download.

Download Adobe Reader

Step 2 - Take Your Photos
See instructions on how to take your digital photos.

Step 3 - Send Your Forms and Photos by Postal Mail or E-mail
They should be submitted with a brief description of your desired procedure, expectations and concerns.

By e-mail:
preconsult@cosmeticsurg.net

By snail mail:
Ricardo L. Rodriguez, MD, LLC
ATTN: Pre-Consult - Virtual Consultation
1300-C Bellona Avenue
Lutherville, MD 21093

Step 4 - Make Payment
Make a payment of $75.00 for your consultation at this payment link: Virtual Consultation $75.00

Step 5 - Your Virtual Consultation with Dr. Rodriguez
After your forms and photos are received, we will contact you to schedule your Virtual Consultation. Please make sure you send us accurate and current phone numbers and times at which you can be reached. During the consultation, you will speak with Dr. Rodriguez as he reviews your photos with you. Together you will discuss your goals, questions, and concerns. Note: This Virtual Consultation is considered a confirmed appointment with Dr. Rodriguez and must be treated with the same respect as an office consultation. If you need to cancel or reschedule this appointment, please call our office at 410-494-8100 at least 48 hours prior to your Virtual Consultation to cancel or reschedule.


Photo Instructions for the Virtual Consultation

Facial/Rhinoplasty Instructions and Photo Samples

  1. Please take Photos in front of a plain background. For example, use a plain-colored wall or plain-colored sheet (white or blue is preferable) hung on a wall.

  2. Photos should be taken from top/crown of head to just below the neck with collar bones visible. Facial features should be relaxed. No smiling or frowning, just a relaxed natural position. Keep jawline in a relaxed natural position; do not try to push jaw out or "pose" as this will only obscure your natural jawline. Be as relaxed as possible for the best photo outcome.

  3. Keep the camera angle straight forward. Do not angle down or up as this will also create an unnatural position/view of the facial features.

  4. A total of 6 images/views are needed: 1 front shot, 2 quarter turn shots, 2 side views and 1 view with head tilted slightly downward of the facial features.

 

Breast Instructions and Photo Samples

  1. Please take Photos in front of a plain background. For example, use a plain-colored wall or plain-colored sheet (white or blue is preferable) hung on a wall.

  2. Photos should be taken from just below the neck with shoulders visible to just above the belly button. Hands and arms should not be raised as this lifts the breasts to an unnatural position. Hands can rest on your hips with elbows bent naturally to the sides or rest naturally straight back. Be as relaxed as possible for the best photo outcome.

  3. Keep the camera angle straight forward. Do not angle down or up as this will also create an unnatural position/view of the breasts.

  4. You will need to take your photos without any garments on; for example, no bras or shirts.

  5. A total of 5 images/views are needed: 1 front view shot, 2 quarter turn shots and 2 side views of the breasts.

 

Body Procedures Instructions and Photo Samples

  1. Please take Photos in front of a plain background. For example, use a plain-colored wall or plain-colored sheet (white or blue is preferable) hung on a wall.

  2. Photos should be taken from just below your chin to your feet. The whole torso area should be visible with no undergarments obscuring the area to be examined. Hands and arms should not be raised as this lifts the abdomen to an unnatural position. Do not "suck in" the abdomen as this also creates an unnatural position. Inhale and exhale out to completely relax your abdomen. Hands can rest on your hips with elbows bent naturally to the sides. Be as relaxed as possible for the best photo outcome.

  3. Keep the camera angle straight forward. Do not angle down or up as this will also create an unnatural position/view of the abdomen area.

  4. You will need to take your photos without any garments on; for example, no shirts covering the abdomen area.

  5. A total of 8 images/views are needed: 1 front view shot, 2 quarter front turn shots, 2 side views, 2 quarter back turn shots, and 1 full back shot.


After Your Virtual Consultation

Pre-op & Surgery Schedule

Once you and Dr. Rodriguez have decided on a tentative surgical plan, Dr. Rodriguez's Patient Care Consultant & Coordinator, Kelly Warner, will help you to coordinate all of your travel and surgical plans. She will also assist you with finding local accommodations near our office. A deposit for your surgery will be required to secure your pre-operative and surgical dates. The balance will be collected at your pre-operative visit.

Pre-operative Visit

Your first visit with Dr. Rodriguez in our office will include your initial office consultation with a physical health and history and your surgical examination. Pre-operative and post-operative forms, instructions, and consent forms will be sent to you prior to your surgery. Your Pre-operative Packet will contain copies of surgical consents, pre-operative and post-operative forms and instructions. Please review this packet in its entirety and bring with you to your appointments. We schedule ample time for your first visit so that all questions and concerns can be answered.

Surgical Visit

Your elective cosmetic surgery will be performed at our Medicare Certified Out-Patient Freestanding Surgical Center located within our office suite. We are located just 3 miles from GBMC hospital, where Dr. Rodriguez is Chief of the Plastic Surgery Department. Our surgical center is certified to administer both IV and general anesthesia. Our facility uses a combination of Board Certified Anesthesiologists and CRNAs.

We have a private waiting area with flat screen TV and wireless Internet for the comfort of you and your family. The recovery room is designed for your private care and you will have one R.N. dedicated to your recovery. We can arrange for a private nurse or medical personnel to transport you to your hotel following discharge. Following your surgery, you will be given direct access to Dr. Rodriguez via his cell phone number.

Post-operative Visits and Recovery

Surgical patients must plan on staying in the Baltimore area for approximately 7-10 days or longer and some less. You will be seen during your stay and always on the day prior to your departure. The complexities of each patient's surgery will determine this timeframe. Dr. Rodriguez will discuss the your personal recovery timeframe with you during your Virtual Consultation so you can plan accordingly.