After thirty years of solo Plastic Surgery practice, Kevin B. Mayfield, M.D., F.A.C.S. has permanently closed his office at 8230 Beckett Park Drive in West Chester, Ohio.
Written requests for copies of medical records should be sent via email to drkevinmayfield@icloud.com . Please include your contact information in the correspondence and you will be contacted regarding this request. Allow 6-8 weeks per request after a release of medical information form has been signed and returned. All appropriate fees set by the State of Ohio will apply and must be prepaid.
Thank you very much.
Written requests for copies of medical records should be sent via email to drkevinmayfield@icloud.com . Please include your contact information in the correspondence and you will be contacted regarding this request. Allow 6-8 weeks per request after a release of medical information form has been signed and returned. All appropriate fees set by the State of Ohio will apply and must be prepaid.
Thank you very much.
Downloadable Forms from Kevin Mayfield Plastic Surgery
The forms below require information that is necessary for our records. You may print these forms and complete them at your leisure to lessen the time spent at our office. Please bring them with you at the time of your initial consultation.
Registration form Medical history Receipt of privacy policyOther Downloadable Documents
Privacy policy Printable driving directionsTo view and print these forms you must have Adobe's Acrobat Reader, a free program you can download from Adobe.
