Check out more information on the newest treatments and technologies at Heartland, skinvive, Aveli, and Morpheus8, today!

Patient Portal & Forms

Heartland Plastic Surgery Patient Portal & Register Steps


Step 1: Enter Basic Information

  • Create a unique Username and Password
  • Enter your first and last name
  • Enter ZIP Code and DATE OF BIRTH (MM/DD/YYYY)
  • Enter Your security code – this is a unique security code which must be provided by the office prior to registration. Don’t have your security code? Feel free to call and inquire.
  • Check the Terms and Conditions Checkbox
  • Click Create Account

Please note that your First Name, Last Name, Zip Code and Date of Birth must match the information provided to the practice when you scheduled your appointment.

Step 2: Select Security Questions

Select three security questions and answer them. Click Continue

Step 3: Fill Out & Complete Paperwork Prior to Appointment

Once logged in, navigate to your upcoming appointments. Next to your appointment will be a blue button “Update Information” that will direct you to paperwork that needs to be completed prior to that appointment. Click on the link and follow the below steps:

  1. Update your demographics information
  2. Skip through the insurance section
  3. Finish and/or update online medical history forms


Need additional help?

  1. Don’t see your medical record? Click on the link “Don’t see the practice you’re looking for?” and enter our unique practice ID: YYIZAY
  2. Double check your first name. What name did you give the office when you called? Is there a nickname you go by that differs from your formal name?
  3. Security Code? Every patient has a unique security code that we will provide for you. Call our office at (888) 515-2847 and we’ll be happy to assist.
  4. Still need assistance? Call (888) 515-2847 to speak with a front office staff member.

Patient Forms

Issues with registering through the patient portal for your paperwork? Prior to attending your consultation with Heartland Plastic & Hand Surgery, please print and complete the below forms and bring them to your appointment:

10 Amazing Skin Benefits to Microneedling

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The Benefits of Botox Injections

Botox® was first approved for cosmetic use in April 2002. It is currently the only product FDA-approved to temporarily decrease the appearance of moderate to severe frown wrinkles and fine lines and wrinkles. It is currently approved for use in…

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6 Commonly Asked Questions About Laser Tattoo Removal

Laser tattoo removal can be an effective method of eliminating tattoos you no longer want to be visible. There are many factors to consider before deciding to remove an unwanted tattoo through laser, including the age of the tattoo ink,…

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Board Certified Plastic Surgeon


Dr. J. Stewart Humphrey is certified by the American Board of Plastic Surgery, and the American Society of Plastic Surgeons. The American Board of Plastic Surgery is the gold standard for plastic surgery certification in the United States. Dr. Humphrey…

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