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Patient Registration Forms

To facilitate the registration process, many of the forms you need to complete prior to your visit for services are available online.

These files require Adobe PDF Reader. Click here to begin download.

Save the pdf forms to your PC and complete the forms.

Scan and email to bitnerstaff@gmail.com or Fax to (801) 773-4866

Procedures of Interest

Facelift Surgery
Rhinoplasty
Eyelid Surgery - Blepharoplasty
Botox Injections











John Bitner MD
2121 North 1700 West, Layton Utah 84041
Phone: (801) 525-8727
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