Patient Forms


New patients: Please complete the new patient packet before your visit with Dr. Hirsch.

Click to fill out:


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

Post Operative Instructions


Click on the following link to download the surgical drain output record:

Drain output record


Click on the links below to download post-operative instructions for your procedure:

Cosmetic Breast Procedures:

Breast Augmentation
Breast Lift
Breast Lift with Implants
Inverted Nipple Repair

Reconstructive Breast Procedures:

Tissue Expander Breast Reconstruction
Direct to Implant Breast Reconstruction
Second Stage Breast Reconstruction
Nipple Reconstruction
Free Flap (DIEP) Breast Reconstruction
Latissimus Flap Breast Reconstruction

Cosmetic Body Procedures:

Tummy Tuck
Liposuction
Arm Lift
Thigh Lift

Cosmetic Face Procedures:

Facelift/Necklift
Blepharoplasty
Rhinoplasty/Septoplasty
Split Earlobe Repair