MODEL RELEASED. Surgery consent form. Patient signing a consent form before undergoing cosmetic surgery. As well as being a record of the patient's consent, the form will also contain other contractual information, such as the extent of medical, legal and financial liability for both the patient and the hospital or clinic. Patients having surgery also have to provide contact details for their next-of-kin in case something goes wrong. The marks on the patient's face show that he will be having skin 'tucks' around his hairline, neck and eyes, and alterations to his nose.