Patient Portal
  2. Free Plastic Surgery

Community Access to Reconstructive
and Corrective Surgery

For more than 26 years, Dr. Sam Speron has dedicated a portion of his practice to serving patients
who lack the financial means to obtain medically appropriate reconstructive or corrective procedures.

More Than $1.6 Million in Donated Surgical Care

Through an established charity-care initiative, the practice has provided over $1.6 million in donated procedures,
clinical services, and related support to patients with demonstrated financial need.

Each year, a limited number of patients are selected through a confidential review process that prioritizes:

  • ✓ Individuals without adequate insurance coverage
  • ✓ Patients referred by community clinics, hospitals, or social service organizations
  • ✓ Cases involving reconstructive, functional, or quality-of-life-improving procedures

If you or someone you know would benefit, you can submit a confidential request below.

Please Read Carefully

  • ✓ Only one submission per person, per year.
  • ✓ All submissions are strictly anonymous.
  • ✓ Selected based on need, safety, and feasibility.
  • ✓ We do this quietly—not for publicity, but to give back.

Selection is never shared on social media. We prioritize your privacy and your journey. Duplicate submissions are automatically deleted by our system to ensure fairness for all applicants.

Application for Consideration

Please do not include your last name or identifying sensitive data.

Your information is used only to review requests and is not shared, sold, or published.

Optional Photos (Secure & Confidential)

You may email clear photos of the area you would like evaluated to our office. Front and side views are helpful. Do not include your face if not necessary.

All photos are handled in accordance with HIPAA privacy standards and used only for clinical assessment.

Dr. Sam Speron | 7157 W. Howard St., Niles, IL 60714

Over 26 years of giving back — $1.6M+ in donated procedures, products, and charitable support

HIPAA Disclaimer: By submitting this form, you consent to the secure review of your information and any photos you choose
to share by Dr. Sam Speron and his medical team. All submissions are handled in accordance with HIPAA privacy guidelines.
This form does not establish a patient-physician relationship or guarantee treatment.

What Do Our Patients Say?