At the Polacek Center for Plastic Surgery in Rhode Island, near Providence, your cosmetic plastic surgery experience is of the utmost importance to us. We want each of our patients to feel relaxed, assured, and confident throughout their journey. We strive to make things as efficient and uncomplicated as possible, so that you can focus on the more exciting aspects of your procedure. The following resources are provided to help you to plan for your surgery.

• For those who are interested, we offer fees & financing information to help you explore your payment options.
• Need help finding us? Get directions to our office in Cranston.

Patient Forms

For our new patients, we have made all of our necessary forms available online so that you can fill them out at your leisure and bring them with you to your first appointment.

• Health Information Form
• Patient Information Form
• Patient Questionnaire Form

If you haven’t already done so, request a consultation at the Polacek Center for Plastic Surgery. Or phone us at (401) 331-0202 and we will discuss the best approach to address your specific needs.

Cancellation Policy

If you need to cancel your appointment, please call our office at least 48 hours before your scheduled date; we do not accept cancellations via text message in our reminder portal. To cancel a Monday appointment, please call our office during business hours by Thursday of the week prior. Please note: if you do not cancel your appointment with 48 hours’ notice, there is a cancellation fee of $100 (for Dr. Lori G. Polacek) or $50 (for Beth Walker, our medical aesthetician, and Toni deSousa, our CoolSculpting specialist).