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Welcome to Cornerstone Plastic Surgery & Aesthetic Medicine! This page has been created for you as a resource to answer all of your questions as a new patient and to prepare you for your upcoming visit. On this page you can save and download your patient forms, learn to use our patient portal, and more. If you have any additional questions, please contact us at 609-228-9718 and one of your staff members will be happy to assist you!


Discover your patient forms here! Please fill out and sign any required form for your upcoming visit. We look forward to seeing you!


Learn how to log in and navigate our Patient Portal by watching this easy-to-follow video guide. For our Spanish-speaking patients, we also have a Spanish version of the video guide below. If you have any additional questions, please contact us at 609-228-9718 and one of your staff members will be happy to assist you!



The fees quoted for cosmetic procedures and surgeries are inclusive of the following:

  • Pre-operative exam
  • Surgeon fees
  • Materials
  • Anesthesia
  • Operating facility
  • Post-operative visits

For procedures or surgeries performed in a separate outpatient surgical facility, anesthesia and operating facility fees are billed separately and are payable directly to the facility on the day of your surgery. These fees will be itemized and incorporated within your Cornerstone Plastic Surgery quote.

If additional corrective surgery or elective aesthetic correction is desired, additional surgeon, facility, and material fees will be incurred.

In-office treatments such as Botox, Voluma, Juvederm, Dysport, Restylane, or other filler materials, chemical peels, Asclera therapy, and other similar therapies are priced on a pre-treatment basis or package option, and additional cost is possible based on consumption.

Office treatments and services are payable in full at the time of your appointment.

If you elect to have a procedure or surgery and would like to secure the date that works best for your schedule, a 20% deposit of the surgeon fees is required to secure your date. If materials are needed for the surgery, i.e., implants, the costs of the materials are due in full along with the deposit. The full balance is due two weeks prior to surgery. If your surgical booking is within two weeks of surgery, then payment is due in full.

Your deposit is 100% refundable up to three weeks prior to your procedure. Once you are within your three-week time frame and you choose to cancel, you will forfeit your full deposit.

Additionally, should your scheduled procedure/surgery be cancelled, the following applies:

  • Cancellation 8-14 days prior to scheduled procedure/surgery date will result in 25% loss of fees.
  • Cancellation 7-2 days prior to scheduled procedure/surgery date will result in 50% loss of fees.
  • Cancellation made the day before or day of scheduled procedure/surgery date will result in 100% loss of fees.

We do offer several options for financing as well as online payment processing. Click for Financing Options and/or Payment Processing


This privacy policy discloses the privacy practices for (https://www.cornerstoneplasticsurgery.com). This privacy policy applies solely to information collected by this website. It will notify you of the following:

  • What personally identifiable information is collected from you through the website, how it is used, and with whom it may be shared.
  • What choices are available to you regarding the use of your data.
  • The security procedures in place to protect against the misuse of your information.
  • How you can correct any inaccuracies in the information.

Our website uses cookies. By using our website and agreeing to this policy, you consent to our use of cookies in accordance with the terms of this policy.

Information Collection, Use, and Sharing

We are the sole owners of the information collected on this site.

We may collect, store, and use the following kinds of personal information:

  • Information about your computer and about your visits to, and use of, this website (including your IP address, geographical location, browser type and version, operating system, referral source, length of visit, page views, website navigation);
  • Information relating to any transactions carried out between you and us on or in relation to this website, including information relating to any purchases you make of our goods or services;
  • Information that you provide to us to register with us;
  • Information that you provide to us tu subscribe to our website services, email notifications, or newsletters; and
  • Any other information that you choose to send to us.

Before you disclose to us the personal information of another person, you must obtain that person’s consent to both the disclosure and the processing of that personal information in accordance with the terms of this privacy policy.

We will use your information to respond to you regarding the reason you contacted us. We may share your information with another third party outside of our organization if necessary to fulfill your request (e.g., to ship an order) or facilitate our organization in managing our website.

Unless you ask us not to, we may contact you via email in the future to tell you about specials or new products or services.

Your Access to and Control Over Information

You may opt out of any future contact from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website:

  • See what data we have about you if any.
  • Change/correct any data we have about you.
  • Have us delete any data we have about you.
  • Express any concern you have about our use of your data.


We will take reasonable technical and organizational precautions to prevent the loss, misuse, or alteration of your personal information.

We will store all the personal information you provide on our secure (password and firewall-protected) servers.

Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment.


We may accept orders, and if we do, we request information from you on our order form. To buy from us, you must provide contact information (like name and shipping address) and financial information (like credit card number, expiration date). This information is used for billing purposes and to fill your orders. If we have trouble processing an order, we’ll use this information to contact you.


We use “cookies” on this site. A cookie is a piece of data stored on a site visitor’s hard drive to improve your access to our site and help us identify repeat visitors to our site. For instance, when we use a cookie to identify you, you would not have to log in a password more than once, thereby saving time while on our site. Cookies can also enable us to track and target the interests of our users to enhance the experience on our site.

Some of our business partners may use cookies on our site (for example, advertisers). However, we have no access to or control over these cookies.

We do not honor the Do Not Track (DNT) web browser privacy preference at this time.


We share aggregated demographic information with our partners and advertisers. And:

We may use an outside:

  • shipping providers to ship orders
  • credit card processing providers to bill users for goods and services.

These companies do not retain, share, store, or use personally identifiable information for any secondary purposes beyond filling your order. And:

We may partner with another party to provide specific services. We will share names or other contact information necessary for the third party to provide these services. These parties are not allowed to use personally identifiable information except to provide these services.


We may disclose your personal information to any of our employees, officers, agents, suppliers, or subcontractors insofar as reasonably necessary for the purposes set out in this privacy policy.

We may disclose your personal information to any member of our group of companies (this means our subsidiaries, our ultimate holding company, and all its subsidiaries) insofar as reasonably necessary for the purposes set out in this privacy policy.

In addition, we may disclose your personal information:

  • To the extent that we are required to do so by law;
  • In connection with any ongoing or prospective legal proceedings;
  • To establish, exercise, or defend our legal rights (including providing information to others for fraud prevention and reducing credit risk);
  • To the purchaser (or prospective purchaser) of any business or asset that we are (or are contemplating) selling; and
  • To any person we reasonably believe may apply to a court or other competent authority for disclosing that personal information where, in our reasonable opinion, such court or authority would be reasonably likely to order disclosure of that personal information.


This website contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.

Surveys & Contests

From time to time, our site requests information via surveys or contests. Participation in these surveys or contests is completely voluntary, and you may choose whether or not to participate and therefore disclose this information. Information requested may include contact information (such as name and shipping address) and demographic information (such as zip code, age level). We will notify the winners and award prizes using your contact information. We will use survey information to monitor or improve the use and satisfaction of this site.


Our Privacy Policy may change from time to time, and we will post all updates on this page.

Effective: January 1, 2014If you feel we are not abiding by this privacy policy, you should contact us immediately via the email address or phone number given on our website (https://www.cornerstoneplasticsurgery.com).


By submitting the contact form, you agree to the Terms of Use:

BCommunications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

By submitting a form, you hereby agree to hold Cornerstone Plastic Surgery and Aesthetic Medicine and its doctors and affiliates harmless from any hacking or any other unauthorized use of your personal information by outside parties.


Frederick A. Coville, M.D., Cornerstone Plastic Surgery’s Owner and Medical Director, has been an Aesthetic and Reconstructive Plastic Surgeon for over 25 years. He firmly believes each of us possesses an inner “Foundational Beauty.”

As a student of beauty all his life, he calls upon his naturally artistic eye and God-given talents as a surgeon to deliver the results you demand. Dr. Fred likes to say, “It’s my job to help you find Your Beautiful!”

Request your consultation and let
us create a custom experience for you