Patient Forms

New patients:

Please complete the new patient packet before your visit with Dr. Hirsch. Click to fill out:

Post Operative Instructions

Click on the following link to download the drain output log.  Bring this with you to your follow up appointment:

Drain output record

Please watch the video below to learn how to care for your drains.

*Video has no dialog

Out of town patients

Please contact our office and we will be happy to help you arrange your travel.  This information sheet has some highlights of the area as well as important information about your procedure.

Out of town patient sheet

Face Procedures

Earlobe Repair

Your privacy is important to us!  Please review our practice privacy policy, which can be downloaded by clicking on the below link titled "Privacy Policy." 

Click to download:  Privacy Policy

Open Payments Database

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.