Gunnar Bergqvist, MD

Plastic Surgery Center of PA

410 Cranberry Street, Unit 310 | Erie, PA 16507 | Office Phone 814-480-8220 | Fax 814-480-8225

Patient Forms

Feds approve new silicone gel-filled breast implant

The Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implant has won the approval of the U.S. Food and Drug Administration (FDA).
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14.6 Million Cosmetic Plastic Surgery Procedures Performed in 2012

As economic indicators such as auto, retail, and home sales saw gains in 2012 - so too did plastic surgery. According to statistics released by the American Society of Plastic Surgeons (ASPS), 14.6 million cosmetic plastic surgery procedures, including both minimally-invasive and surgical, were performed in the United States in 2012.
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Infographic: Cosmetic Plastic Surgery on the Rise in 2012

Minimally-invasive cosmetic procedures and facial rejuvenation procedures fueled cosmetic surgery growth in 2012.
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Jewel performs concert in support of breast reconstruction awareness

Video highlights from singer/songwriter Jewel's concert to raise awareness about breast reconstruction options for breast cancer survivors
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Patient Forms and Policies

For the convenience of our patients, here are copies of commonly used forms. All forms and instructions are also provided in the office during appointments. Please call 814-480-8220 if you have any questions or concerns. Dr. Bergqvist and his caring staff are ready to help you.

Please print and fill out the following forms prior to your initial consultation with Dr. Bergqvist.

Adobe Acrobat File Health Disclosure
Adobe Acrobat File Medical History
Adobe Acrobat File Medical Condition History
Adobe Acrobat File Patient Information
Adobe Acrobat File Treatment Authorization