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.
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.
Click on the links below to download pre-operative instructions for your procedure:
Pre-operative instructions for Avalon Surgery Center
Pre-operative instructions for Prime Surgical Center of Encino
Pre-operative instructions for Providence Ceder-Sinai Tarzana Medical Center
Pre-operative instructions for Providence St. Joseph Medical Center
Pre-operative instructions for Valley Presbyterian Hospital
Click on the links below to download post-operative instructions for your procedure:
Breast Procedures:
Breast Implant RemovalBreast Implant Removal with Lift
Breast Reduction
Breast Lift
Breast Augmentation
Breast Lift with Implants
Inverted Nipple Repair
Reconstructive Breast Procedures
Tissue Expander Breast ReconstructionDirect to Implant Breast Reconstruction
Second Stage Breast Reconstruction
Nipple Reconstruction
Latissimus Flap Breast Reconstruction
Transgender Breast Reconstruction with Implant
Transgender Breast Reconstruction with Expander
Face Procedures
Facelift/NeckliftBlepharoplasty
Rhinoplasty/Septoplasty
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